Most Relevant Information
Provider Data
| NPI Number: | 1003363920 |
| Provider Name: | MYRA MOYCHAU RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 315090 |
Most Important Dates
| Enumeration Date: | 09/08/2016 |
| Last Updated: | 09/08/2016 |
Provider Practice Location
859 60TH ST APT 7A
BROOKLYN
NY
112204351
Practice Location Phone/Fax
| Phone: | 7187955562 |
| Fax: |
Provider Mailing Location
859 60TH ST APT 7A
BROOKLYN
NY
112204351
Provider Mailing Phone/Fax
| Phone: | 7187955562 |
| Fax: |