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Individual

DAVID M MORETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(315) 376-5200
(315) 589-9406
Mailing address
PO BOX 10505, ALBANY, NY 12201-5505

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
702622
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170248201
TX
01
470756
NY LICENSE
NY
Enumeration date
06/19/2006
Last updated
08/30/2023
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