Provider Demographics
NPI:1700227402
Name:BRITTNEY MOREIS
Entity Type:Organization
Organization Name:BRITTNEY MOREIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MOREIS
Authorized Official - Suffix:I
Authorized Official - Credentials:BS/MS
Authorized Official - Phone:585-409-6891
Mailing Address - Street 1:32 NORTHVIEW PARK
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:NY
Mailing Address - Zip Code:14011-1112
Mailing Address - Country:US
Mailing Address - Phone:585-409-6891
Mailing Address - Fax:
Practice Address - Street 1:32 NORTHVIEW PARK
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:NY
Practice Address - Zip Code:14011-1112
Practice Address - Country:US
Practice Address - Phone:585-409-6891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP89524251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)