LYDIA MORA


Address: 2025 Richmond Avenue Suite 200, Staten Island, NY 10314
Phone: 2125642350

LYDIA MORA (NPI# 1700307360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700307360
Entity Type Individual
Full Name LYDIA MORA
Practice Address 2025 Richmond Avenue Suite 200
Staten Island
NY 10314
Mailing Address 2025 Richmond Ave Ste 200
Staten Island
NY 10314-3915
Practice Telephone 2125642350
Enumeration Date 2017-07-03
Last Update Date 2017-07-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 2025 RICHMOND AVENUE SUITE 200
City STATEN ISLAND
State NY
Zip Code 10314

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1699374587 Wendy Delores Cruz Specialist 35 Tanglewood Dr, Staten Island, NY 10308-1853 2020-10-21
1972101517 Gina Sinchi Specialist 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 2020-10-15
1558968354 Danamarie Bolusi Specialist 134 Butler Ave, Staten Island, NY 10307-1207 2020-10-05
1164033320 Andrea Balsamo Specialist 170 Overlook Ave, Staten Island, NY 10304-3006 2020-08-12
1699386912 Anastasia Chernysheva Specialist 552b Greeley Ave, Staten Island, NY 10306-5808 2020-08-11
1750909842 Diane Marie Trimarchi Specialist 139 Cedar Grove Ct, Staten Island, NY 10306-5703 2020-07-06
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1477174431 Danielle Bennett Specialist 35 Bryan St, Staten Island, NY 10307-1503 2020-04-30
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Competitor

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City STATEN ISLAND
Zip Code 10314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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