Individual
EMMANUELLY MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1431 NY-300, NEWBURGH, NY 12550
(866) 336-5126
Mailing address
6600 WEIGHLOCK DR, EAST SYRACUSE, NY 13057
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059272
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
07/21/2022
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