Individual
KATHRYNE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 OLD TOWN RD, SETAUKET, NY 11733-3482
(631) 730-4910
Mailing address
380 OLD TOWN RD, SETAUKET, NY 11733-3482
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
395815-1
NY
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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