Individual
LESLY CATALINA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 PILLING ST, BROOKLYN, NY 11207-1610
(718) 553-1100
Mailing address
3463 111TH ST, CORONA, NY 11368-1323
(646) 463-0823
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
NY
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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