Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 240474 | NY |
N | 111NI0900X | Internist | 240474 | NY |
Y | 207RN0300X | Nephrologist | 240474 | NY |
NPI | 1053336255 |
---|---|
Provider Name | Ayman Habib Morgan |
First Address | Latham, NY 12110-2461 |
Second Address | Schenectady, NY 12309-1135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 19/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000411942001 | BSNENY (01) | NY |
02792496 | (05) | NY |
061220000018 | FIDELIS CARE (01) | NY |
10113735 | CDPHP (01) | NY |
11571812 | CAQH (01) | NY |
160615000070 | FIDELIS (01) | NY |
2355S1 | BLUE CROSS (01) | NY |
4149459 | MVP (01) | NY |
7788864 | AETNA (01) | NY |
844L21 | EMPIRE BLUECROSS BLUESHILED (01) | NY |