IndividualActive
Marcia Moodie
NPI 1902207996 · Adult Companion · Laurelton, NY
Provider details
- NPI number
- 1902207996
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 244802-1 (NY)
Practice location
13023 218th St
Laurelton, NY 11413-1232
Phone: (718) 525-2932
Fax: (718) 525-2932
Mailing address
13023 218th St
Laurelton, NY 11413-1232
Registry dates
- Enumerated
- 2014-09-09
- Last updated
- 2014-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.