Individual
MS. BESSI MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
202 11TH ST, WEST BABYLON, NY 11704-3531
(631) 805-9278
Mailing address
202 11TH ST, WEST BABYLON, NY 11704-3531
(631) 805-9278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/05/2014
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