Individual
DR. LOUIS ERNESTO MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 STATION COURT, SUITE 21, BELLPORT, NY 11713-2454
(347) 740-5690
(833) 225-9073
Mailing address
106 MELROSE PKWY, EAST PATCHOGUE, NY 11772-6269
(347) 740-5690
(833) 255-9073
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018957-1
NY
Other
Enumeration date
12/04/2012
Last updated
02/25/2025
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