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Individual

DR. DIANA ELENA MOGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.,PH.D., P.C.

Contact information

Practice address
139 W 82ND ST STE 1CD, NEW YORK, NY 10024-5544
(468) 310-3796
(866) 586-5679
Mailing address
139 W 82ND ST STE 1CD, NEW YORK, NY 10024-5544
(468) 310-3796
(866) 586-5679

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
003456
NY
2084P0800X
Psychiatry Physician
Primary
267189
NY

Other

Enumeration date
06/05/2008
Last updated
04/03/2019
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