871 MOSES LLC

NPI 1376362178 Active Family Medicine

Quick Facts

NPI Number

1376362178

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2024-10-08

Last Updated (NPPES)

2026-07-22

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`

Other Taxonomies

Clinic/Center

Practice Address

871B WESTCHESTER AVE
BRONX, NY 104594002

Phone: 646-741-2111

Mailing Address

871B WESTCHESTER AVE
BRONX, NY 104594002

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