SearchNew York164W00000X

Marvin Moreno

NPI 1760020549 · on the registry since 2019 · sole proprietor

Practice

Address
15 Flock Ln
Levittown, NY 11756
Phone
(516) 458-6677

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York