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NPI Code Detail

MEDICARE: KEVIN MORALES

MEDICARE: KEVIN MORALES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist00753201NY

General Provider Information

NPI Number : 1073339578
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN MORALES
Provider Business Mailing Address
First Line : 2148 35TH ST APT 3C
Second Line :
City : ASTORIA
State : NY
Zip : 11105-2136
Country : US
Telephone Number : 347-863-5542
Fax Number :
Provider Business Practice Location Address
First Line : 69 W 71ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10023-4112
Country : US
Telephone Number : 845-614-3243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2024
Last Update Date : 11/29/2024

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Directions to “ KEVIN MORALES ” Practice Location

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