Individual
PEDRO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST, 3RD FLOOR, NEW YORK, NY 10029-6501
(212) 241-5586
(212) 410-7196
Mailing address
1 GUSTAVE L LEVY PL, BOX 1030, NEW YORK, NY 10029-6500
(212) 241-3497
(212) 534-2845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
001914
NY
207RI0011X
Interventional Cardiology Physician
Primary
235294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02460222
—
NY
Enumeration date
07/24/2006
Last updated
12/05/2013
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