Organization
CHARLES MORELLI DPM P.C.
Active
Other names
Sound Shore Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MORELLI DPM P.C. (PRESIDENT)
(914) 835-6604
Entity
Organization
Contact information
Practice address
910 E BOSTON POST RD, MAMARONECK, NY 10543-4109
(914) 835-6604
(914) 835-6913
Mailing address
910 E BOSTON POST RD, MAMARONECK, NY 10543-4109
(914) 835-6604
(914) 835-6913
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N004812
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01537026
—
NY
01
—
1C5826
HEALTHNET ID NUMBER
NY
01
—
480023413
RAILROAD MEDICARE ID
NY
01
—
P08781
EMPIRE ID NUMBER
NY
01
—
P672271
OXFORD ID NUMBER
NY
Enumeration date
08/28/2007
Last updated
01/31/2024
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