Nicole Marie Moreno, ATC
NPI #1316469315 in Old Westbury, New York
Provider Information
- NPI Number
- 1316469315
- Entity Type
- Individual
- Name
- Nicole Marie Moreno, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jul 11, 2017
- Last Updated
- Jul 11, 2017
Practice Location
- Address
- NORTHERN BOULEVARD
- Address 2
- P.O. BOX 8000
- City
- Old Westbury
- State
- New York
- ZIP Code
- 11568
- Phone
- (516) 686-7687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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