Organization
HAVEN FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO MORAN MD (OWNER)
(718) 902-2244
Entity
Organization
Contact information
Practice address
707 W 171ST ST STE W, NEW YORK, NY 10032-2811
(212) 927-3232
(212) 927-4571
Mailing address
707 W 171ST ST STE W, NEW YORK, NY 10032-2811
(212) 927-3232
(212) 927-4571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/18/2023
Last updated
04/09/2025
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