Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 053785 | CT |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | ME124820 | FL |
Y | 2084N0400X | Neurologist | 188071 | NY |
NPI | 1316055999 |
---|---|
Provider Name | Joseph John Moreira |
First Address | Manhasset, NY 11030-3737 |
Second Address | Mineola, NY 11501-1510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 29/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F85956 | (02) |