Individual provider · Type 1 NPI

Walter Augusto Fabris Moraes, MD

Student in an Organized Health Care Education/Training Program · Elmhurst, NY

NPI number 1306786512 Active

Practice location

7901 Broadway
Elmhurst, NY 11373-1329

Call (617) 362-5368 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306786512

Walter Augusto Fabris Moraes, MD's National Provider Identifier is 1306786512, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elmhurst, NY. The record was last updated on Mar 30, 2026.