Individual
AGNIESZKA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 E POST RD, WHITE PLAINS, NY 10601-4607
(914) 681-2308
Mailing address
41 E POST RD, WHITE PLAINS, NY 10601-4607
(914) 681-2308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347302
LICENSE NUMBER
NY
Enumeration date
06/17/2021
Last updated
06/17/2021
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