Organization
MEDICAL CARE OF NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIBERTO ANGEL MORENO (OWNER)
(786) 360-4768
Entity
Organization
Contact information
Practice address
1915 3RD AVE, NEW YORK, NY 10029-4605
(212) 385-4949
Mailing address
1915 3RD AVE, NEW YORK, NY 10029-4605
(212) 385-4949
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
09/28/2022
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