IndividualActive
Edwin Moreano, M.D.
NPI 1568415172 · Otolaryngology/Facial Plastic Surgery Physician · Jackson Heights, NY
Provider details
- NPI number
- 1568415172
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 210894 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3755 91st St
Jackson Heights, NY 11372-7901
Phone: (718) 478-2852
Fax: (718) 478-3877
Approximate (ZIP-level) locationGet directions
Mailing address
3755 91st St
Jackson Heights, NY 11372-7901
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.