Individual
MR. MOE SIERRA AIDALINDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, NP, A-GNP-C
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
3551 85TH ST APT 5H, JACKSON HEIGHTS, NY 11372-5542
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309745
NY
Other
Enumeration date
07/23/2020
Last updated
02/16/2026
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