Healthcare Provider Details

I. General information

NPI: 1609858513
Provider Name (Legal Business Name): NEIL Y MORGENSTERN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HIGHLAND AVE
ROSLYN HEIGHTS NY
11577-1013
US

IV. Provider business mailing address

15 HIGHLAND AVE
ROSLYN HEIGHTS NY
11577-1013
US

V. Phone/Fax

Practice location:
  • Phone: 516-343-4731
  • Fax:
Mailing address:
  • Phone: 516-343-4731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number213149-2
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: