Provider Demographics
NPI:1013136225
Name:MORENTE, FLORA FESALBON (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORA
Middle Name:FESALBON
Last Name:MORENTE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:345 W 58TH ST
Mailing Address - Street 2:APT. 6F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1145
Mailing Address - Country:US
Mailing Address - Phone:212-600-0346
Mailing Address - Fax:212-600-1439
Practice Address - Street 1:8675 MIDLAND PKWY
Practice Address - Street 2:STE 1
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3058
Practice Address - Country:US
Practice Address - Phone:718-739-9867
Practice Address - Fax:718-739-1200
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2015-02-09
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Provider Licenses
StateLicense IDTaxonomies
NY1150932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology