Individual
ILANA ESTERE MOCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18 SQUADRON BLVD, NEW CITY, NY 10956-5210
(845) 634-9729
Mailing address
18 SQUADRON BLVD, NEW CITY, NY 10956-5210
(845) 634-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
243344-1
NY
2085R0202X
Diagnostic Radiology Physician
25MA08435200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02992510
—
NY
01
—
243344 1
LICENSE
NY
01
—
25MA08435200
MEDICAL LICENSE
NJ
Enumeration date
05/22/2008
Last updated
04/27/2009
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