Individual
DR. MARK V. MORANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1505B MERMAID AVE, BROOKLYN, NY 11224-2617
(718) 758-5043
(718) 758-5044
Mailing address
1505B MERMAID AVE, BROOKLYN, NY 11224-2617
(718) 758-5043
(718) 758-5044
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
006272
NY
213ES0131X
Foot Surgery Podiatrist
Primary
N006272-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03059529
—
NY
Enumeration date
05/21/2008
Last updated
12/05/2019
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