Individual
ABRAHAM BAUTISTA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6214 RIVERDALE AVE # 1A, BRONX, NY 10471-1032
(718) 701-4807
(718) 701-4806
Mailing address
1920 AMSTERDAM AVE APT 13L, NEW YORK, NY 10032-5024
(516) 467-7821
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109449
NY
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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