Moran, Alberto Isaac

Moran, Alberto Isaac is an individual health care provider with primary practice located at 7901 Broadway , Elmhurst NY 11373-1329. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Moran, Alberto Isaac can be contacted via phone (718) 334-5970.

Contact Information

Primary practice address
7901 Broadway Elmhurst NY 11373-1329
Fax: (718) 334-5958
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 016398 New York

Profile Details

NPI number 1740366954
LBN Legal business name Moran, Alberto Isaac
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740366954 NPPES
New York MEDICAID 00246075

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