Individual
EMILY MOYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6321 UTRECHT AVE., BROOKLYN, NY 11219
(212) 774-3219
Mailing address
6321 NEW UTRECHT AVE # NY11219, BROOKLYN, NY 11219-5425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0032821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629388681
REGISTERED NURSE
NY
Enumeration date
10/08/2010
Last updated
11/02/2016
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