Carolina Moose NP

NPI # 

Practice Address:

3959 Broadway

New York, NY, 10032-1559

Practice Phone:

212-342-8600

License Number:

350596

License State:

NY

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Neonatal, Critical Care

Taxonomy Code:

363LN0005X