Healthcare Provider Details

I. General information

NPI: 1861937609
Provider Name (Legal Business Name): MORGAN MEREDITH ESCANO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 01/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 COOPERATE BLVD
NEWBURGH NY
12550
US

IV. Provider business mailing address

700 COOPERATE BLVD
NEWBURGH NY
12550
US

V. Phone/Fax

Practice location:
  • Phone: 845-561-3655
  • Fax:
Mailing address:
  • Phone: 845-561-3655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number671793
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: