Individual ProviderMartin MoranoPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address475 Seaview Ave, Staten Island, NY 10305-3436(718) 226-7956(845) 641-3684PECOS EnrollmentBased on the most recent information from CMS, provider Martin Morano is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1669147310Provider TypeIndividualFull NameMorano, MartinCredentialPHYSICIAN ASSISTANTGenderMaleSole ProprietorNoEnumeration Date8/14/2021Last Updated8/14/2021Contact InformationPractice LocationPractice Address475 Seaview Ave, Staten Island, NY 10305-3436Phone(718) 226-7956Fax(718) 226-7971Mailing LocationMailing Address200 Greene St Apt 308, Jersey City, NJ 07311-1433Phone(845) 641-3684FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense026984New York