MEDICARE: MARIA RAMONA MOLDOVAN

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	174400000X	Specialist	027305	NY

General Provider Information

NPI Number	:	1619120375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA RAMONA MOLDOVAN

Provider Business Mailing Address
First Line	:	28B INDIAN ROCK
Second Line	:
City	:	MONTEBELLO
State	:	NY
Zip	:	10901-4907
Country	:	US
Telephone Number	:	845-368-2180
Fax Number	:	845-368-2187

Provider Business Practice Location Address
First Line	:	28B INDIAN ROCK
Second Line	:
City	:	MONTEBELLO
State	:	NY
Zip	:	10901-4907
Country	:	US
Telephone Number	:	845-368-2180
Fax Number	:	845-623-6556

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

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	12/28/2022

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Directions to “ MARIA RAMONA MOLDOVAN ” Practice Location

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