Healthcare Provider Details

I. General information

NPI: 1790231140
Provider Name (Legal Business Name): EMMA JOYCE MORSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2016
Last Update Date: 08/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3156 EAST AVE
ROCHESTER NY
14618-3428
US

IV. Provider business mailing address

31 KENMONT DR
PENFIELD NY
14526-1511
US

V. Phone/Fax

Practice location:
  • Phone: 585-381-1600
  • Fax:
Mailing address:
  • Phone: 585-520-9067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number040604-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: