Individual
MORIS ALEJANDRO ANGULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 210, MINEOLA, NY 11501-4073
(516) 663-3090
(516) 663-3070
Mailing address
222 STATION PLZ N, SUITE 611, MINEOLA, NY 11501-3808
(516) 663-2532
(516) 663-2233
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
159613
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
159613
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01244435
—
NY
Enumeration date
07/21/2006
Last updated
05/04/2021
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