MEDICARE: ARIANA MOY

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
1	163W00000X	Registered Nurse	803292	NY

General Provider Information

NPI Number	:	1275300329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANA MOY

Provider Business Mailing Address
First Line	:	246 BARD AVE APT 1
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10310-1660
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	246 BARD AVE APT 1
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10310-1660
Country	:	US
Telephone Number	:	917-535-3023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2023
Last Update Date	:	12/08/2023

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Directions to “ ARIANA MOY ” Practice Location

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