Individual
BIBI AMINA MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21208 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1812
(917) 937-6264
Mailing address
21208 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1812
(917) 937-6264
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320860
NY
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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