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1760096226
LYDIA VERONICA MOORER
ELMONT, NY
NPI
1760096226
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Former Name
LYDIA VERONICA PEMBERTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 2017025467)
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
LYDIA VERONICA MOORER FNP
103 WARWICK RD
ELMONT, NY 11003-1427
Phone number: 347-463-6689
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Mailing Address
LYDIA VERONICA MOORER FNP
103 WARWICK RD
ELMONT, NY 11003-1427
Phone number: 347-463-6689
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