Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 286585 | NY |
N | 207R00000X | Internist | 286585 | NY |
N | 111NI0900X | Internist | 286585 | NY |
NPI | 1396137709 |
---|---|
Provider Name | Dr. Daniel Ernest Morgan |
First Address | Watertown, NY 13601-0570 |
Second Address | Watertown, NY 13601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2015 |
Last Update Date | 13/01/2020 |