Individual
CAROLINA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16216 UNION TPKE, FRESH MEADOWS, NY 11366-1958
(718) 264-7250
(718) 264-7922
Mailing address
197 SWEEZY AVE, FREEPORT, NY 11520-4117
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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