Organization
NES SOUTHEAST OHIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MORRA (PRESIDENT/CEO)
(631) 265-7450
Entity
Organization
Contact information
Practice address
1950 MOUNT SAINT MARYS DR, NELSONVILLE, OH 45764-1280
(740) 753-1931
Mailing address
750 VETERANS HWY, SUITE 200, HAUPPAUGE, NY 11788-2943
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2695105
—
OH
Enumeration date
08/31/2006
Last updated
07/16/2007
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