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Contact Information

MICKAELLA MORETA, PHD
3900 VETERANS MEMORIAL HWY
SUITE 260
BOHEMIA, NY11716-1042
 Phone: 631-467-1029
 Fax: 631-467-1136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICKAELLA MORETA · (Female)

NPI # 1871653394
Status Active
Credentials PHD
Entity Individual
Enumeration date 12/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 000754-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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