Individual
YAHAIDA N MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
570 1ST AVE, NEW YORK, NY 10016-6512
(212) 263-0250
Mailing address
1043 BEDFORD AVE APT 4B, BROOKLYN, NY 11216-4778
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431287
NY
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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