Provider Demographics
NPI:1033811831
Name:MORILLO, KATHERINE J (CHES)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:J
Last Name:MORILLO
Suffix:
Gender:F
Credentials:CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1980 UNIONPORT RD APT D31
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-2838
Mailing Address - Country:US
Mailing Address - Phone:347-847-0356
Mailing Address - Fax:
Practice Address - Street 1:1980 UNIONPORT RD APT D31
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-2838
Practice Address - Country:US
Practice Address - Phone:347-847-0356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator