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NPI Code Detail

MEDICARE: EVELYN MORALES

MEDICARE:   EVELYN  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
11041C0700XClinical Social Worker
2104100000XSocial Worker114912-01NY

General Provider Information

NPI Number : 1508661877
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN MORALES
Provider Business Mailing Address
First Line : 1869 85TH ST BSMT
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3112
Country : US
Telephone Number : 347-605-1721
Fax Number :
Provider Business Practice Location Address
First Line : 1869 85TH ST BSMT
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3112
Country : US
Telephone Number : 347-605-1721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2025
Last Update Date : 02/19/2025

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Directions to “ EVELYN MORALES ” Practice Location

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