Healthcare Provider Details

I. General information

NPI: 1568816742
Provider Name (Legal Business Name): DR. MORGENSTERN MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 04/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

672 DOGWOOD AVE # 339
FRANKLIN SQUARE NY
11010-3247
US

IV. Provider business mailing address

672 DOGWOOD AVE # 339
FRANKLIN SQUARE NY
11010-3247
US

V. Phone/Fax

Practice location:
  • Phone: 516-778-7533
  • Fax: 516-778-7534
Mailing address:
  • Phone: 516-778-7533
  • Fax: 516-778-7534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL MORGENSTERN
Title or Position: DIRECTOR
Credential: M.D.
Phone: 646-872-2747