Individual
ANDREA ALEXANDRA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-6336
Mailing address
13810 REDDING ST, OZONE PARK, NY 11417-2808
(516) 423-4544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
033752
NY
Other
Enumeration date
01/09/2023
Last updated
03/06/2024
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