Provider Demographics
NPI:1841766037
Name:FRANCIS MOREL, GARRY ALIOSHA (MD)
Entity Type:Individual
Prefix:
First Name:GARRY
Middle Name:ALIOSHA
Last Name:FRANCIS MOREL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GARRY
Other - Middle Name:A
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2455 CAMBRELENG AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-6215
Mailing Address - Country:US
Mailing Address - Phone:561-846-1520
Mailing Address - Fax:
Practice Address - Street 1:4422 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2545
Practice Address - Country:US
Practice Address - Phone:561-846-1520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY390200000X
NY315073207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program