MATTHEW MORAN

JAMAICA, NY
NPI1063884831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  150410835)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
Mr. MATTHEW MORAN
14839 HILLSIDE AVE
JAMAICA, NY 11435-3330
Phone number: 718-206-1368
Mailing Address
Mr. MATTHEW MORAN
14839 HILLSIDE AVE
JAMAICA, NY 11435-3330
Phone number: 718-206-1368