Individual
MISS MARSHA MOONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANCILLARY SERVICES
Contact information
Practice address
353 LEXINGTON AVE, NEW YORK, NY 10016-0941
(914) 438-4820
Mailing address
1263 FTELEY AVE, BRONX, NY 10472-2801
(914) 438-4820
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
NO LICENSE NUMBER
NY
Other
Enumeration date
11/19/2015
Last updated
04/06/2022
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