MEDICARE: MARIA MOROZOVA

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
1	363LA2200X	Adult Health Nurse Practitioner	312120	NY
2	163W00000X	Registered Nurse	743839	NY

General Provider Information

NPI Number	:	1295568392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA MOROZOVA

Provider Business Mailing Address
First Line	:	1877 OCEAN AVE APT 1C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6862
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1877 OCEAN AVE APT 1C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6862
Country	:	US
Telephone Number	:	347-530-6199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2024
Last Update Date	:	12/11/2025

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Directions to “ MARIA MOROZOVA ” Practice Location

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