Individual
EDWIN HENRY MOREANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3755 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 478-2852
(718) 478-3877
Mailing address
3755 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 478-2852
(718) 478-3877
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
210894
NY
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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