Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2007012501 | NY |
NPI | 1164587408 |
---|---|
Provider Name | Bruce A. Morris |
First Address | Albany, NY 12208-3797 |
Second Address | Albany, NY 12208-3797 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 04/04/2018 |