Individual
ASHLEY MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5709
Mailing address
40 HARDING ST, AMITYVILLE, NY 11701-2308
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
323019
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2019
Last updated
03/05/2024
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