Healthcare Provider Details

I. General information

NPI: 1972627560
Provider Name (Legal Business Name): MORCOS F MORCOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 05/25/2021
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 1ST AVE
NEW YORK NY
10029-7494
US

IV. Provider business mailing address

575 E RIVER RD
TUCSON AZ
85704-5822
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-6262
  • Fax:
Mailing address:
  • Phone: 520-874-7207
  • Fax: 520-874-3425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35884
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: