(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003178823
Provider Name: RENELLY MOREL
Entity Type: Individual
Taxonomy Code: 174400000X
Specialty: Specialist
License Number:
Most Important Dates
Enumeration Date: 06/08/2012
Last Updated: 06/08/2012
Provider Practice Location
31 GRIDLEY AVE
STATEN ISLAND
NY
103032203
Practice Location Phone/Fax
Phone: 3479512672
Fax:
Provider Mailing Location
31 GRIDLEY AVE
STATEN ISLAND
NY
103032203
Provider Mailing Phone/Fax
Phone: 3479512672
Fax: