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NPI Code Detail

MEDICARE: MR. VENICIO B MOJICA JR. RN

MEDICARE:  MR. VENICIO B MOJICA JR. RN
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
1163WP0808XPsychiatric/Mental Health Registered Nurse489764NY

General Provider Information

NPI Number : 1710291430
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VENICIO B MOJICA JR. RN
Provider Business Mailing Address
First Line : 3050 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10467-8124
Country : US
Telephone Number : 718-944-7121
Fax Number :
Provider Business Practice Location Address
First Line : 3050 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10467-8124
Country : US
Telephone Number : 718-944-7121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2010
Last Update Date : 08/05/2010

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