EDWARD J MOYLAN OD PC
Optometry at Hallock Ave, Prt Jefferson Station, NY

License number
New York TUV004922-1
Category
Optometry
Type
Optometrist
Owner
Name: DR. EDWARD J MOYLAN OD
Title: OPTOMETRIST
Phone: (631) 642-2020
Address
Address
500 Hallock Ave, Prt Jefferson Station, NY 11776
National Provider ID: 1043408958
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDWARD J. MOYLAN O.D., PC

Prt Jefferson Station, NY

Registration:
Oct 19, 2004
Addresses:
500 Rte 25A, Port Jefferson Station, NY 11776 (Physical)
500 Hallock Ave, Port Jefferson Station, NY 11776 (Physical)
State ID:
3115633
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Edward J Moylan, 500 Hallock Ave, Port Jefferson Station, NY 11776 (Physical)

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