Individual
ELENA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7100
Mailing address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304043-1
NY
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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