MEDICARE: DR. MORGENSTERN MEDICAL PLLC

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	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician
2	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1568816742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. MORGENSTERN MEDICAL PLLC

Provider Business Mailing Address
First Line	:	672 DOGWOOD AVE
Second Line	:	# 339
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010-3247
Country	:	US
Telephone Number	:	516-778-7533
Fax Number	:	516-778-7534

Provider Business Practice Location Address
First Line	:	672 DOGWOOD AVE
Second Line	:	# 339
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010-3247
Country	:	US
Telephone Number	:	516-778-7533
Fax Number	:	516-778-7534

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. MICHAEL MORGENSTERN
Credential	:	M.D.
Telephone Number	:	646-872-2747

Provider Enumeration Date	:	04/14/2016
Last Update Date	:	04/14/2016

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