Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 115093 | NY |
NPI | 1013136225 |
---|---|
Provider Name | Dr. Flora Fesalbon Morente |
First Address | New York, NY 10019-1145 |
Second Address | Jamaica, NY 11432-3058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 09/02/2015 |