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DR. MANUEL ORLANDO MOSQUERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3435 76TH ST, APT 3L, JACKSON HEIGHTS, NY 11372-2222
(718) 808-5434
Mailing address
3435 76TH ST, APT 3L, JACKSON HEIGHTS, NY 11372-2222
(718) 808-5434

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
60 234367
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
234367
NY

Other

Enumeration date
07/16/2006
Last updated
10/06/2010
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