Provider Demographics
NPI:1962471854
Name:MORABITO, CARMINE DOMENIC (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMINE
Middle Name:DOMENIC
Last Name:MORABITO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:100 MOTOR PKWY
Mailing Address - Street 2:STE 110
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-5156
Mailing Address - Country:US
Mailing Address - Phone:631-665-1330
Mailing Address - Fax:631-665-1363
Practice Address - Street 1:375 E MAIN ST
Practice Address - Street 2:STE 24
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706
Practice Address - Country:US
Practice Address - Phone:631-665-1330
Practice Address - Fax:631-665-1363
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2017-03-16
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Provider Licenses
StateLicense IDTaxonomies
NY103421207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00398949Medicaid
NY00398949Medicaid
B16048Medicare UPIN