Individual provider · Type 1 NPI

Juan Pablo Mora

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1306478474 Active

Practice location

151 Westchester Hall
Stony Brook, NY 11794-0001

Call (631) 444-2557 Map

Specialties and licenses

TaxonomyCodeLicense
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 1306478474

Juan Pablo Mora's National Provider Identifier is 1306478474, issued on Feb 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Mar 23, 2020.