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Individual

SHERRY LYNN MORENO QUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3636 33RD ST, STE 500, LONG ISLAND CITY, NY 11106-2329
(212) 529-9780
Mailing address
100 E 92ND ST, APT. 6-H, BROOKLYN, NY 11212-1545
(917) 945-9243

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009126-1
NY

Other

Enumeration date
03/15/2017
Last updated
03/15/2017
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