Provider Demographics
NPI:1083668115
Name:MORGOS, FAIG WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:FAIG
Middle Name:WILLIAM
Last Name:MORGOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6692 MIDDLE RD BOX # 153
Mailing Address - Street 2:SUITE 1900
Mailing Address - City:SODUS
Mailing Address - State:NY
Mailing Address - Zip Code:14551-9602
Mailing Address - Country:US
Mailing Address - Phone:315-483-2307
Mailing Address - Fax:315-483-2307
Practice Address - Street 1:6692 MIDDLE RD # 153
Practice Address - Street 2:SUITE 1900
Practice Address - City:SODUS
Practice Address - State:NY
Practice Address - Zip Code:14551-9602
Practice Address - Country:US
Practice Address - Phone:315-483-2307
Practice Address - Fax:315-483-2307
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201154207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01476439Medicaid
NY01476439Medicaid