# HAVEN FAMILY MEDICINE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003503392
- **Authorized official:** ROBERTO MORAN MD (OWNER)
- **Authorized official phone:** (718) 902-2244

## Contact information

- **Practice address:** 707 W 171ST ST STE W, NEW YORK, NY 10032-2811
- **Practice address phone:** (212) 927-3232
- **Practice address fax:** (212) 927-4571
- **Mailing address:** 707 W 171ST ST STE W, NEW YORK, NY 10032-2811
- **Mailing address phone:** (212) 927-3232
- **Mailing address fax:** (212) 927-4571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 04/09/2025