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NPI Code Detail

MEDICARE: MORETTI & RACCO MEDICAL ASSOCIATES, PC

MEDICARE: MORETTI & RACCO MEDICAL ASSOCIATES, PC
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
1207R00000XInternal Medicine Physician227515NY
2207R00000XInternal Medicine Physician206442NY

General Provider Information

NPI Number : 1770501421
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORETTI & RACCO MEDICAL ASSOCIATES, PC
Provider Business Mailing Address
First Line : 7513 FORT HAMILTON PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2305
Country : US
Telephone Number : 718-745-2442
Fax Number : 718-745-2872
Provider Business Practice Location Address
First Line : 7513 FORT HAMILTON PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2305
Country : US
Telephone Number : 718-745-2442
Fax Number : 718-745-2872
Authorized Official
Title or Position : OWNER
Name : DR. ALEX RACCO
Credential : D.O.
Telephone Number : 718-745-2442
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2008

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Directions to “MORETTI & RACCO MEDICAL ASSOCIATES, PC ” Practice Location

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