Individual
DAVID MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1711 E 2ND ST, BROOKLYN, NY 11223-1822
(646) 748-3677
Mailing address
1711 E 2ND ST BSMT, BROOKLYN, NY 11223-1822
(646) 748-3677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340185
NY
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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