Individual
DR. EDWARD JOHN MOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
537 PATCHOGUE ROAD, PORT JEFFERSON STATION, NY 11776
(631) 642-2020
(631) 642-3938
Mailing address
15 OLD HOMESTEAD RD, PORT JEFFERSON, NY 11777-1108
(631) 476-7099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004922-1
NY
Other
Enumeration date
11/28/2006
Last updated
07/07/2020
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