Organization
SUE MOERLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE A MOERLER MS (SPECIAL EDUCATION TEACHER)
(631) 806-0160
Entity
Organization
Contact information
Practice address
49 CADMAN AVE, BABYLON, NY 11702-2101
(631) 806-0160
Mailing address
49 CADMAN AVE, BABYLON, NY 11702-2101
(631) 806-0160
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
161223071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
OTHER SERVICE PROVIDER CLASSIFICATION:SPECIALIST
NY
Enumeration date
06/01/2016
Last updated
06/01/2016
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