Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | P79933 | NY |
NPI | 1780963660 |
---|---|
Provider Name | Mr. Emmanouil Morakis |
First Address | New York, NY 10065-7940 |
Second Address | New York, NY 10021-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2011 |
Last Update Date | 10/08/2011 |