| Organization Name: | MORELLI & SAN ANDRES LLC |
| NPI Number: | 1417248683 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER A MORELLI (OWNER) |
| Mailing Address: | 26 Musket Dr Kendall Park |
| State: | NJ US |
| Postal Code: | 088241836 |
| Phone Number: | 7322592602 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2011 |
| NPI Last Update Date: | 04/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 0400410204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |