Edward J Moylan Od PC
NPI #1043408958 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1043408958
- Entity Type
- Organization
- Organization Name
- Edward J Moylan Od PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 5, 2007
- Last Updated
- Mar 12, 2022
Practice Location
- Address
- 537 PATCHOGUE RD
- State
- New York
- ZIP Code
- 11776-1006
- Phone
- (631) 642-2020
Authorized Official
- Name
- DR. EDWARD J MOYLAN, OD
- Title
- OPTOMETRIST
- Phone
- (631) 642-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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