Individual
DR. JUSTINE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
41 CASTLE POINT RD, WAPPINGERS FALLS, NY 12590-7004
(845) 831-2000
(845) 838-5262
Mailing address
41 CASTLE POINT RD, WAPPINGERS FALLS, NY 12590-7004
(845) 831-2000
(845) 838-5193
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
006650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912262205
—
NY
Enumeration date
07/12/2012
Last updated
03/05/2019
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