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Kenneth Moberg, NURSE PRACTITIONER
NPI 1033379540 · on the registry since 2008 · sole proprietor
Practice
- Address
- 121b West 20th Street
Village Diagnostic & Treatment Center
New York, NY 10011 - Phone
- (212) 337-9290
- Fax
- (212) 337-9275
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York