Healthcare Provider Details

I. General information

NPI: 1205509171
Provider Name (Legal Business Name): MORGAN ELIZABETH FOCAS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 E 38TH ST FL 4
NEW YORK NY
10016-2772
US

IV. Provider business mailing address

12 MANSEL DR
REISTERSTOWN MD
21136-5662
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-7582
  • Fax:
Mailing address:
  • Phone: 443-844-5143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0008051
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: