MEDICARE: DELROSE M MORRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	510722	NY

General Provider Information

NPI Number	:	1023964574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELROSE M MORRIS

Provider Business Mailing Address
First Line	:	2257 WALTON AVE # 1A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10453-1933
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 WEBSTER AVE APT 202
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-0575
Country	:	US
Telephone Number	:	917-394-1055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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Directions to “ DELROSE M MORRIS ” Practice Location

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