Individual
DIEGO MOROCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
8608 57TH RD APT 3R, ELMHURST, NY 11373-4874
(718) 607-1426
Mailing address
3505 87TH ST APT 3H, JACKSON HEIGHTS, NY 11372-5605
(718) 607-1426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007608
NY
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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