Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 269708-1 | NY |
N | 207V00000X | Obstetrician & Gynecologist | MD443680 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 269708-1 | NY |
NPI | 1184866279 |
---|---|
Provider Name | Leslie Moroz |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2009 |
Last Update Date | 28/07/2021 |