Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Yans Cosculluela Moreno, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801650742

Yans Cosculluela Moreno, MD is a Student in an Organized Health Care Education/Training Program in Far Rockaway, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone: (718) 869-7672
Fax: (718) 869-8530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1801650742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 11, 2024

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