Individual
MS. MOIRA ANN GATELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 WATERS PL, BRONX, NY 10461-2723
(929) 348-3464
Mailing address
2735 GIFFORD AVE PH, BRONX, NY 10465-1814
(646) 529-7403
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
516226
NY
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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