Provider Demographics
NPI:1184655003
Name:MORCOS, CHADIA WILSON (MD)
Entity Type:Individual
Prefix:DR
First Name:CHADIA
Middle Name:WILSON
Last Name:MORCOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 COLONY LN
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4724
Mailing Address - Country:US
Mailing Address - Phone:516-496-9691
Mailing Address - Fax:516-496-3420
Practice Address - Street 1:77 COLONY LN
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4724
Practice Address - Country:US
Practice Address - Phone:516-496-9691
Practice Address - Fax:516-496-3420
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147281207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B19518Medicare UPIN