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General NPI Number Information
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NPI Number | 1558654343
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Entity Type | Individual
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Provider Name | MR. MICHAEL LAMORGESE
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Gender | Male
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 69 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-4004
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Country | US
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Telephone | 914-376-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 70 PLEASANT RIDGE RD
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City | POUGHQUAG
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State | NY
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Zip | 12570-5641
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Country | US
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Telephone | 845-724-3922
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F336493-1
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License Number State | NY
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