# SUE MOERLER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194173138
- **Authorized official:** SUE A MOERLER MS (SPECIAL EDUCATION TEACHER)
- **Authorized official phone:** (631) 806-0160

## Contact information

- **Practice address:** 49 CADMAN AVE, BABYLON, NY 11702-2101
- **Practice address phone:** (631) 806-0160
- **Mailing address:** 49 CADMAN AVE, BABYLON, NY 11702-2101
- **Mailing address phone:** (631) 806-0160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | 161223071 | NY | Yes |

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 06/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 174400000X | OTHER SERVICE PROVIDER CLASSIFICATION:SPECIALIST | NY |