Healthcare Provider Details

I. General information

NPI: 1770900649
Provider Name (Legal Business Name): ERIN KATHERINE MORGAN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 12/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 E. ROBINSON RD SUITE 207
WEST AMHERST NY
14228
US

IV. Provider business mailing address

1150 YOUNGS RD SUITE 104
WILLIAMSVILLE NY
14221
US

V. Phone/Fax

Practice location:
  • Phone: 716-594-1111
  • Fax: 716-564-1128
Mailing address:
  • Phone: 716-636-7990
  • Fax: 716-636-7993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number017444
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: