Individual
LINA M MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 HENRY ST, INWOOD, NY 11096-2335
(718) 327-3401
(718) 327-3132
Mailing address
8641 102ND RD FL 2, OZONE PARK, NY 11416-2134
(347) 784-9522
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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