Individual
PATRICK J MORAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 LONG ISLAND AVE APT 6A, DEER PARK, NY 11729-3432
(917) 340-1399
Mailing address
809 LONG ISLAND AVE APT 6A, DEER PARK, NY 11729-3432
(917) 340-1399
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86053220
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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