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NPI Code Detail

MEDICARE: CAROLYN MOJICA

MEDICARE:   CAROLYN  MOJICA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1538710892
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN MOJICA
Provider Business Mailing Address
First Line : 18 E 199TH ST
Second Line :
City : BRONX
State : NY
Zip : 10468-1715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18 E 199TH ST APT 4H
Second Line :
City : BRONX
State : NY
Zip : 10468-1735
Country : US
Telephone Number : 718-924-1308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2019
Last Update Date : 09/26/2019

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Directions to “ CAROLYN MOJICA ” Practice Location

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