Individual
MR. MOISES MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P.A.
Contact information
Practice address
25 12TH ST, 208, BROOKLYN, NY 11215-3830
(718) 965-7900
(718) 965-1114
Mailing address
25 12TH ST, 208, BROOKLYN, NY 11215-3830
(718) 965-7900
(718) 965-1114
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001242-1
NY
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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