MEDICARE: DR. PATRICK G MORRIS 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	207RX0202X	Medical Oncology Physician	P63120	NY

General Provider Information

NPI Number	:	1174789184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK G MORRIS MD

Provider Business Mailing Address
First Line	:	425 MAIN ST
Second Line	:	APT 5K, ROOSEVELT ISLAND
City	:	NEW YORK
State	:	NY
Zip	:	10044-0238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 MAIN ST
Second Line	:	APT 5K, ROOSEVELT ISLAND
City	:	NEW YORK
State	:	NY
Zip	:	10044-0238
Country	:	US
Telephone Number	:	646-306-3538
Fax Number	:

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

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	07/30/2008

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