Individual
MRS. ELIZABETH MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 HUGUENOT ST, NEW ROCHELLE, NY 10801-5200
(914) 251-0905
(914) 251-1266
Mailing address
97 ECHO AVE, NEW ROCHELLE, NY 10801-5731
(914) 251-0905
(914) 251-1266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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