Provider Demographics
NPI:1174885636
Name:MOROZ, ALEXANDER (MS ED)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:MOROZ
Suffix:
Gender:M
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 KINGS PL
Mailing Address - Street 2:5D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2764
Mailing Address - Country:US
Mailing Address - Phone:917-439-6584
Mailing Address - Fax:
Practice Address - Street 1:11 KINGS PL
Practice Address - Street 2:5D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2764
Practice Address - Country:US
Practice Address - Phone:917-439-6584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist