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NPI Code Detail

MEDICARE: ANNETTE POPE-MORRIS PA

MEDICARE: ANNETTE POPE-MORRIS PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant1018374NY

General Provider Information

NPI Number : 1023070216
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE POPE-MORRIS PA
Provider Business Mailing Address
First Line : 3765 RIVERDALE AVE
Second Line : STE 5
City : BRONX
State : NY
Zip : 10463-1845
Country : US
Telephone Number : 718-601-2700
Fax Number : 718-601-9890
Provider Business Practice Location Address
First Line : 101 HOSPITAL RD
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-4870
Country : US
Telephone Number : 631-654-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 01/22/2018

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Directions to “ ANNETTE POPE-MORRIS PA” Practice Location

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