Healthcare Provider Details

I. General information

NPI: 1295215291
Provider Name (Legal Business Name): MORGAN URBANEK FREEMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN URBANEK

II. Dates (important events)

Enumeration Date: 08/19/2018
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 EXECUTIVE PARK DR
ALBANY NY
12203-3791
US

IV. Provider business mailing address

14 CIRCLE DR APT B
RENSSELAER NY
12144-3045
US

V. Phone/Fax

Practice location:
  • Phone: 518-512-3452
  • Fax: 518-599-0071
Mailing address:
  • Phone: 585-880-6735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: