Individual
DR. MALLORY MORSE MOREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
10 UNION SQ E # 5B, NEW YORK, NY 10003-3314
(212) 844-8775
(212) 844-6975
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
326876
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
326876
NY
207Y00000X
Otolaryngology Physician
326876
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2021
Last updated
10/13/2025
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