Individual
MR. MATTHEW MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14839 HILLSIDE AVE, JAMAICA, NY 11435-3330
(718) 206-1368
(718) 206-9141
Mailing address
14839 HILLSIDE AVE, JAMAICA, NY 11435-3330
(718) 206-1368
(718) 206-9141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150410835
NY
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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