Individual
MABEL ENG - MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
516 PROSPECT AVE, SYRACUSE, NY 13208-2523
(315) 703-5270
(315) 703-5271
Mailing address
516 PROSPECT AVE, SYRACUSE, NY 13208-2523
(315) 703-5270
(315) 703-5271
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
253014
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03152458
—
NY
Enumeration date
10/09/2006
Last updated
11/09/2009
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