MEDICARE: DR. JOSEPH ALPHONSO MORREALE

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	183500000X	Pharmacist	073631	NY

General Provider Information

NPI Number	:	1487512851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ALPHONSO MORREALE

Provider Business Mailing Address
First Line	:	59 PLEASANT PLAINS AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-2715
Country	:	US
Telephone Number	:	646-422-9138
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 RICHMOND RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-2301
Country	:	US
Telephone Number	:	718-667-7733
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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