| Marvin A Moreno, | |
|
15 Flock Ln, Levittown, NY 11756-4114 | |
| (516) 458-6677 | |
| Not Available |
| Full Name | Marvin A Moreno |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 15 Flock Ln, Levittown, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760020549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 336795-01 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin A Moreno, 15 Flock Ln, Levittown, NY 11756-4114 Ph: (516) 458-6677 | Marvin A Moreno, 15 Flock Ln, Levittown, NY 11756-4114 Ph: (516) 458-6677 |
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