Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 60346313 | WA |
N | 208600000X | Surgeon | 60346313 | WA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 274610 | NY |
NPI | 1245433614 |
---|---|
Provider Name | Clinton S. Morrison |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 05/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023923659 | (05) | NY |