Individual provider · Type 1 NPI

Sananda Isabella Moctezuma, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1083109912 Active

Practice location

1000 10th Ave
New York, NY 10019-1147

Call (212) 523-6800 Map

Specialties and licenses

TaxonomyCodeLicense
Endocrinology, Diabetes & Metabolism Physician 207RE0101X97898 (GA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083109912

Sananda Isabella Moctezuma, MD's National Provider Identifier is 1083109912, issued on Jun 23, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jan 16, 2024.