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Individual

MARJORIE MORALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 592-2400
Mailing address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
320698
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD490558
PA
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
MD490558
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
320698
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104519332-0001
PA
Enumeration date
03/24/2021
Last updated
06/26/2026
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