Provider Demographics
NPI:1851367130
Name:MORALES, OSCAR GUILLERMO (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:GUILLERMO
Last Name:MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:30 W 63RD ST APT 28L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7124
Mailing Address - Country:US
Mailing Address - Phone:212-203-3434
Mailing Address - Fax:800-859-5429
Practice Address - Street 1:207 E 94TH ST STE 303
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3705
Practice Address - Country:US
Practice Address - Phone:646-829-2285
Practice Address - Fax:800-859-5429
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227156-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA22521OtherMASSACHUSETTS MEDICARE
NY02572892Medicaid
G46540Medicare UPIN