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Individual

ROBERT STEPHEN MORELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
207 MADISON AVE, ELMIRA, NY 14901-3204
(607) 734-2984
(607) 398-3411
Mailing address
207 MADISON AVE, ELMIRA, NY 14901-3204
(607) 734-2984
(607) 398-3411

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
161637
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180000141
RR MEDICARE
Enumeration date
09/07/2005
Last updated
02/03/2012
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