YANS COSCULLUELA MORENO

FAR ROCKAWAY, NY
NPI1801650742
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-02-12
Last Update Date2024-02-12
Business Address
YANS COSCULLUELA MORENO MD
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7672
Mailing Address
YANS COSCULLUELA MORENO MD
151 LECHASE DR APT C
ROCHESTER, NY 14606-5139
Phone number: 407-545-9011
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