Individual
ALEX AVELINO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1654 DEKALB AVE APT 1R, BROOKLYN, NY 11237-4053
(914) 314-8709
Mailing address
1654 DEKALB AVE APT 1R, BROOKLYN, NY 11237-4053
(914) 314-8709
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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