Individual
MILAGRO MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1386 ROUTE 25A, EAST SETAUKET, NY 11733-2842
(631) 751-2374
Mailing address
196 BIRCHWOOD RD, CORAM, NY 11727-3646
(631) 278-8438
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028234-1
NY
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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