Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | X008365 | NY |
NPI | 1376563940 |
---|---|
Provider Name | Dr. Maria G Morrone |
First Address | Garden City, NY 11530-4893 |
Second Address | Garden City, NY 11530-4893 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 27/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
X18COXM401 | (02) | NY |