Provider Demographics
NPI:1619239811
Name:MORALES, CAROLINE (MS)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7311 210TH ST APT 3N
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2811
Mailing Address - Country:US
Mailing Address - Phone:718-450-1823
Mailing Address - Fax:
Practice Address - Street 1:7311 210TH ST APT 3N
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-2811
Practice Address - Country:US
Practice Address - Phone:718-450-1823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist