Provider Demographics
NPI:1730149642
Name:MORELLI, MICHAEL J (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:MORELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:329 WHITE PLAINS ROAD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709
Mailing Address - Country:US
Mailing Address - Phone:914-337-1610
Mailing Address - Fax:914-337-9312
Practice Address - Street 1:329 WHITE PLAINS ROAD
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709
Practice Address - Country:US
Practice Address - Phone:914-337-1610
Practice Address - Fax:914-337-9312
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYNYS151824207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0022428OtherGHI
NY1C8751OtherHEALTHNET
NY533453OtherAETNA
NY68D071OtherBC/BS
NY0094995Medicaid
NY26948OtherGHI HMO
NYWP338OtherOXFORD
NY26948OtherGHI HMO
NY1C8751OtherHEALTHNET