Provider Demographics
NPI:1447354659
Name:MORELLI, JEANINE MURPHY (MD)
Entity type:Individual
Prefix:DR
First Name:JEANINE
Middle Name:MURPHY
Last Name:MORELLI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:181 N BELLE MEAD RD
Mailing Address - Street 2:FAMILY MEDICINE SUITE 2
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3495
Mailing Address - Country:US
Mailing Address - Phone:631-444-5858
Mailing Address - Fax:631-444-4663
Practice Address - Street 1:181 N BELLE MEAD RD
Practice Address - Street 2:FAMILY MEDICINE SUITE 2
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3495
Practice Address - Country:US
Practice Address - Phone:631-444-5858
Practice Address - Fax:631-444-4663
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2013-07-31
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Provider Licenses
StateLicense IDTaxonomies
NY181502207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01921159Medicaid
E46317Medicare UPIN
NYA400070422Medicare PIN
NY01921159Medicaid