Individual
STEFAN LLANES MOLETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
102 RIVERS EDGE RD, NEW YORK, NY 10035-1163
(646) 672-5800
Mailing address
1160 RHINELANDER AVE, BRONX, NY 10461-1849
(917) 769-7692
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
29868
NY
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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