Individual
DR. JODY SHIGEO MORITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
641 LEXINGTON AVE FL 7, NEW YORK, NY 10022
(646) 888-0079
Mailing address
641 LEXINGTON AVE FL 7, NEW YORK, NY 10022-4503
(646) 888-0079
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P11161
NY
Other
Enumeration date
06/30/2018
Last updated
12/04/2018
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