Individual
DOLORES GARCIA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 WEST 12TH ST, GROUND FLOOR, NEW YORK, NY 10011
(212) 255-8903
Mailing address
22 WEST 12TH ST, GROUND FLOOR, NEW YORK, NY 10011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
199066
NY
2084P0804X
Child & Adolescent Psychiatry Physician
199066
NY
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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