MEDICARE: ELIZABETH DANFORTH MORNINGSTAR M.D.

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	207V00000X	Obstetrics & Gynecology Physician	138026	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6178	OTHER	NY	BLUE CROSS BLUE SHIELD
2	000916649003	OTHER	NY	BC/BS OF WESTERN NEW YORK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000916649001	OTHER	NY	BC/BS OF WESTERN NEW YORK
5	010138026	OTHER	NY	BLUE CHOICE
6	000916649002	OTHER	NY	BC/BS OF WESTERN NEW YORK
7	9526693	OTHER	NY	GHI
8	102318CK	OTHER	NY	PREFERRED CARE
9	160009305	OTHER	NY	RAILROAD
10	5543325	OTHER	NY	AETNA

General Provider Information

NPI Number	:	1932161460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH DANFORTH MORNINGSTAR M.D.

Provider Business Mailing Address
First Line	:	1815 CLINTON AVE S
Second Line	:	SUITE 610
City	:	ROCHESTER
State	:	NY
Zip	:	14618-5720
Country	:	US
Telephone Number	:	585-244-3430
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 CLINTON AVE S
Second Line	:	SUITE 610
City	:	ROCHESTER
State	:	NY
Zip	:	14618-5720
Country	:	US
Telephone Number	:	585-244-3430
Fax Number	:

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

Provider Enumeration Date	:	04/02/2006
Last Update Date	:	07/08/2007

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