Individual
ANA GRACIELA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
108 ROXBURY RD, FRANKLIN SQUARE, NY 11010-4431
(646) 696-5889
Mailing address
108 ROXBURY RD, FRANKLIN SQUARE, NY 11010-4431
(646) 696-5889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005785-1
NY
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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