Individual
MOSES AGBORENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
Mailing address
6425 BROADWAY APT 7D, BRONX, NY 10471-2725
(718) 610-1210
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303690
NY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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