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NPI Code Detail

MEDICARE: BRIGETTE MORALES D.D.S.

MEDICARE:   BRIGETTE  MORALES  D.D.S.
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
11223G0001XGeneral Practice Dentistry047307NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134101652
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIGETTE MORALES D.D.S.
Provider Business Mailing Address
First Line : 1624 CENTRAL AVE
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-4002
Country : US
Telephone Number : 718-471-5543
Fax Number :
Provider Business Practice Location Address
First Line : 1624 CENTRAL AVE
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-4002
Country : US
Telephone Number : 718-471-5543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 07/09/2007

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Directions to “ BRIGETTE MORALES D.D.S.” Practice Location

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