Individual
KECHNER MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 WATERS PL, BRONX, NY 10461-2723
(929) 348-3454
Mailing address
1500 WATERS PL, BRONX, NY 10461-2723
(929) 348-3454
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
511712-1
NY
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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