Nicholas 1 Moreno
Social Worker in Bronx, NY. Individual provider (NPI-1).
NPI number1245104751
StatusActive
Last updated in NPPESSep 30, 2025
Details
- NPI
- 1245104751
- Entity type
- Individual (NPI-1)
- Name
- Nicholas 1 Moreno
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2025
- Certification date
- Sep 30, 2025
- Last updated
- Sep 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 114572 | NY | Yes |
Practice location
459 E 149th St Ste 202Bronx, NY 10455-1789
Phone 844-400-1975
Mailing address
1017 Hollywood Ave Apt 1Bronx, NY 10465-2100
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