Healthcare Provider Details

I. General information

NPI: 1447964192
Provider Name (Legal Business Name): MORGAN MEDICAL PRACTICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 STEVENS AVE 2ND FLOOR, SUITE #7
MOUNT VERNON NY
10550-2543
US

IV. Provider business mailing address

153 STEVENS AVE STE 7
MOUNT VERNON NY
10550-2543
US

V. Phone/Fax

Practice location:
  • Phone: 914-530-3588
  • Fax: 914-530-3363
Mailing address:
  • Phone: 914-530-3590
  • Fax: 914-530-3363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL P MORGAN
Title or Position: PRESIDENT
Credential: MD
Phone: 914-530-3588