Healthcare Provider Details

I. General information

NPI: 1295650992
Provider Name (Legal Business Name): ANGELITA MORRISON LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

386 ROBERTS AVE
YONKERS NY
10703-1731
US

IV. Provider business mailing address

386 ROBERTS AVE
YONKERS NY
10703-1731
US

V. Phone/Fax

Practice location:
  • Phone: 914-573-9772
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number353299-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: