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Organization
ROBERT V MORIARTY MD PC
Active
Organization
ROBERT V MORIARTY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT V MORIARTY MD (PRESIDENT)
(631) 423-2663
Entity
Organization
Contact information
Practice address
755 NEW YORK AVE, SUITE 250, HUNTINGTON, NY 11743-4240
(631) 423-2663
(631) 423-4715
Mailing address
755 NEW YORK AVE, SUITE 250, HUNTINGTON, NY 11743-4240
(631) 423-2663
(631) 423-4715
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
166856
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ7956
RAILROAD MEDICARE
NY
01
—
P00873053
RAILROAD MEDICARE - INDIV
NY
Enumeration date
11/14/2008
Last updated
08/30/2011
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