Moline, Clelia E
Moline, Clelia E is an individual health care provider with primary practice located at 4170 Bronx Blvd , Bronx NY 10466-2656. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moline, Clelia E can be contacted via phone (718) 920-9600.Contact Information
Primary practice address
4170 Bronx Blvd
Bronx NY 10466-2656
Phone: (718) 920-9600
Fax: (718) 920-6840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 197531 | New York |
Profile Details
| NPI number | 1740371392 |
|---|---|
| LBN Legal business name | Moline, Clelia E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740371392 | NPPES |
| New York | MEDICAID | 1663556 |
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