Healthcare Provider Details

I. General information

NPI: 1184574006
Provider Name (Legal Business Name): CHINEDU SYLVIA MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14464 37TH AVE APT 3
FLUSHING NY
11354-5934
US

IV. Provider business mailing address

14464 37TH AVE
FLUSHING NY
11354-5934
US

V. Phone/Fax

Practice location:
  • Phone: 646-942-7662
  • Fax:
Mailing address:
  • Phone: 646-942-7662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number2025097961
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: