Individual provider · Type 1 NPI

Thea Imani Moreira

Specialist · Fresh Meadows, NY

NPI number 1386365070 Active

Practice location

6143 186th St
Fresh Meadows, NY 11365-2710

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386365070

Thea Imani Moreira's National Provider Identifier is 1386365070, issued on Sep 9, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Sep 9, 2022.