| Doctor Name: | MRS. DEBRA JEAN MORENO |
| NPI Number: | 1306176003 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 619055 |
| Business Practice Address: | 126 E Woodland Dr Wading River, NY - 117929604 |
| Business Phone Number: | 6319296890 |
| Business Fax Number: | |
| Mailing Address: | 126 E Woodland Dr, WADING RIVER |
| State: | NY |
| Postal Code: | 117929604 |
| Phone Number: | 6319296890 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2010 |
| NPI Last Update Date: | 01/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC3500X |
| License Number: | 619055 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Cardiac Rehabilitation |
| Taxonomy Definition: | |