Individual
J.P. PLENO MOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 W 118TH ST APT 2, NEW YORK, NY 10027-7216
(212) 666-4610
(212) 666-3173
Mailing address
PO BOX 2099, NEW YORK, NY 10025-1556
(212) 666-4610
(212) 666-3173
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
145492
NY
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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