Healthcare Provider Details

I. General information

NPI: 1629993472
Provider Name (Legal Business Name): MOREDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 BARLOW ST
YONKERS NY
10704-3118
US

IV. Provider business mailing address

31 BARLOW ST
YONKERS NY
10704-3118
US

V. Phone/Fax

Practice location:
  • Phone: 914-304-6155
  • Fax:
Mailing address:
  • Phone: 914-304-6155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL OLMEDA
Title or Position: CEO
Credential:
Phone: 914-304-6155