Individual provider · Type 1 NPI

Kieran Moran

Specialist · Commack, NY

NPI number 1730913716 Active

Practice location

6080 Jericho Tpke Ste 200
Commack, NY 11725-2808

Mailing address

304 1st Ave
Massapequa Park, NY 11762-1849

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1730913716

Kieran Moran's National Provider Identifier is 1730913716, issued on Aug 30, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Commack, NY. The record was last updated on Aug 30, 2024.