Individual
GABRIELLE MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
40 MEMORIAL HWY APT 16J, NEW ROCHELLE, NY 10801-8329
(917) 324-7798
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
938770
NY
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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