Individual
EMMANUEL MORINVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCHT
Contact information
Practice address
18619 122ND AVE, SPRINGFIELD GARDENS, NY 11413-1074
(561) 880-7258
Mailing address
18619 122ND AVE, SPRINGFIELD GARDENS, NY 11413-1074
(561) 880-7258
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
CCHT
NY
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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