MEDICARE: DR. MARCIA M MORGAN MD

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	207R00000X	Internal Medicine Physician	205450-1	NY
2	207R00000X	Internal Medicine Physician	205450	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	025AG2	OTHER	NY	EMPIRE BLUE CROSS-COMMERC
2	134193942	OTHER	NY	COMMERCIAL
3	205450-NY	OTHER	NY	1199 BENEFIT FUND
4	0007806295	OTHER	NY	AETNA
5	0838466	OTHER	NY	CIGNA
6	2594474	OTHER	NY	GHI
7	2639311	OTHER	NY	AETNA HMO
8	P2540735	OTHER	NY	OXFORD
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	1P0515	OTHER	NY	PHS
11	205450	OTHER	NY	HIP HEALTH PLANS OF NY

General Provider Information

NPI Number	:	1043210230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCIA M MORGAN MD

Provider Business Mailing Address
First Line	:	2426 EASTCHESTER RD
Second Line	:	SUITE 204
City	:	BRONX
State	:	NY
Zip	:	10469
Country	:	US
Telephone Number	:	718-231-6547
Fax Number	:	347-964-1590

Provider Business Practice Location Address
First Line	:	2426 EASTCHESTER RD
Second Line	:	STE 204
City	:	BRONX
State	:	NY
Zip	:	10469
Country	:	US
Telephone Number	:	718-231-6547
Fax Number	:	347-964-1590

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	09/24/2012

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