Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N004783 | NY |
Y | 222Z00000X | Podiatrist | N004783 | NY |
NPI | 1063590222 |
---|---|
Provider Name | Dr. Alan A Morris |
First Address | Glen Cove, NY 11542-2858 |
Second Address | Glen Cove, NY 11542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 04/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01637512 | (05) | NY |
U32485 | (02) |