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NPI Code Detail

MEDICARE: MUN MOI HAR

MEDICARE: MUN MOI HAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse676911-1NY

General Provider Information

NPI Number : 1912328295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUN MOI HAR
Provider Business Mailing Address
First Line : 200 DIPLOMAT DR APT 4H
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2014
Country : US
Telephone Number : 914-318-2358
Fax Number :
Provider Business Practice Location Address
First Line : 200 DIPLOMAT DR APT 4H
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2014
Country : US
Telephone Number : 914-318-2358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2014
Last Update Date : 01/03/2014

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Directions to “ MUN MOI HAR ” Practice Location

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