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Individual

MICHEAL L MORETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
355 BARD AVE, GYNECOLOGY/ PERINATOLOGY, STATEN ISLAND, NY 10310-1664
(718) 818-3278
Mailing address
450 W 33RD ST, PBS 12TH FLOOR, NEW YORK, NY 10001-2603
(212) 356-4474
(212) 356-4608

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
152103
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01252377
NY
Enumeration date
10/02/2006
Last updated
07/08/2007
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