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NPI Code Detail

MEDICARE: STEPHEN T. MORAN MD PC

MEDICARE: STEPHEN T. MORAN MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician60224547NY

General Provider Information

NPI Number : 1568483220
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHEN T. MORAN MD PC
Provider Business Mailing Address
First Line : 3112 38TH ST
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3915
Country : US
Telephone Number : 718-274-6910
Fax Number :
Provider Business Practice Location Address
First Line : 3112 38TH ST
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3915
Country : US
Telephone Number : 718-274-6910
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEPHEN THOMAS MORAN
Credential : M.D.
Telephone Number : 718-274-6771
Provider Enumeration Date : 07/21/2006
Last Update Date : 08/22/2020

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