Individual
KATHLYEN MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 W 14TH ST STE 201, NEW YORK, NY 10014
(212) 530-0639
(212) 867-4353
Mailing address
129 W 29TH ST FL 10, NEW YORK, NY 10001-5105
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308216
NY
Other
Enumeration date
10/05/2017
Last updated
08/05/2022
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