Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marvin A Moreno

Individual provider Licensed Practical Nurse · NPI 1760020549

Marvin A Moreno is a Licensed Practical Nurse in Levittown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

15 Flock Ln
Levittown, NY 11756-4114
Phone: (516) 458-6677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 336795-01 (NY)

Record details

NPI number1760020549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2019
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019
Mailing address15 Flock Ln, Levittown, NY 11756-4114

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