MEDICARE: BRADLEY ANDREW MORGANSTERN

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	2088P0231X	Pediatric Urology Physician	281976	NY

General Provider Information

NPI Number	:	1558651398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY ANDREW MORGANSTERN

Provider Business Mailing Address
First Line	:	300 COMMUNITY DR
Second Line	:
City	:	MANHASSET
State	:	NY
Zip	:	11030-3816
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1999 MARCUS AVE STE M18
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1023
Country	:	US
Telephone Number	:	516-466-6953
Fax Number	:	516-466-6953

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

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	07/06/2017

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Directions to “ BRADLEY ANDREW MORGANSTERN ” Practice Location

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