Individual
LUIS H. MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2260 VICTORY BLVD, STATEN ISLAND, NY 10314-6622
(718) 668-0922
Mailing address
2260 VICTORY BLVD, STATEN ISLAND, NY 10314-6622
(718) 668-0922
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
006371
NY
Other
Enumeration date
05/27/2009
Last updated
05/02/2022
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