Most Relevant Information
Provider Data
| NPI Number: | 1003636432 |
| Provider Name: | AIDA ELVIRA MORETA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 769574 |
Most Important Dates
| Enumeration Date: | 10/11/2024 |
| Last Updated: | 10/11/2024 |
Provider Practice Location
2811 QUEENS PLAZA NORTH,
5TH FLOOR
LONG ISLAND CITY
NY
111014172
Practice Location Phone/Fax
| Phone: | 7183918300 |
| Fax: |
Provider Mailing Location
2811 QUEENS PLZ N
FLOOR 5
LONG ISLAND CITY
NY
111014172
Provider Mailing Phone/Fax
| Phone: | 7183918300 |
| Fax: |