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NPI Code Detail

MEDICARE: DR. GEORGETTE ALICIA MORGAN

MEDICARE: DR. GEORGETTE ALICIA MORGAN
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
1174400000XSpecialist943710151NY

General Provider Information

NPI Number : 1922571512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGETTE ALICIA MORGAN
Provider Business Mailing Address
First Line : 561 ROUTE 9W
Second Line :
City : PIERMONT
State : NY
Zip : 10968-1116
Country : US
Telephone Number : 845-680-1420
Fax Number : 845-789-8013
Provider Business Practice Location Address
First Line : 225 BROADWAY STE 2710
Second Line :
City : NEW YORK
State : NY
Zip : 10007-3032
Country : US
Telephone Number : 646-875-8853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2019
Last Update Date : 08/19/2020

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Directions to “ DR. GEORGETTE ALICIA MORGAN ” Practice Location

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