Moretz, J Alfred

Moretz, J Alfred is an individual health care provider with primary practice located at 1729 Burrstone Rd. , New Hartford NY 13413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Moretz, J Alfred can be contacted via phone (315) 798-1431.

Contact Information

Primary practice address
1729 Burrstone Rd. New Hartford NY 13413
Phone: (315) 798-1431
Fax: (315) 798-1444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 214285 New York

Profile Details

NPI number 1851385074
LBN Legal business name Moretz, J Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Sep 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851385074 NPPES
New York MEDICAID 01959008

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