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1033134366
JOSEPH M. MORENO
HICKSVILLE, NY
NPI
1033134366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 000478-1)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
Dr. JOSEPH M. MORENO Ph.D., M.D.
29 SALEM RD
HICKSVILLE, NY 11801-5756
Phone number: 516-822-0879
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Mailing Address
Dr. JOSEPH M. MORENO Ph.D., M.D.
PO BOX 812
HICKSVILLE, NY 11802-0812
Phone number: 516-822-0879
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