Individual
MS. EVELYN MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
732 SMITHTOWN BYP, SUITE 303, SMITHTOWN, NY 11787-5020
(631) 361-7100
(631) 361-9181
Mailing address
509 12TH ST, WEST BABYLON, NY 11704-3110
(631) 225-3401
(631) 225-5187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005664
NY
Other
Enumeration date
04/03/2007
Last updated
02/28/2009
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