Provider Demographics
NPI:1184866279
Name:MOROZ, LESLIE (MD)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:MOROZ
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 1:622 W 168TH ST PH 16-66
Mailing Address - Street 2:COLUMBIA UNIVERSITY MEDICAL CENTER, DEPT OBGYN, DIV MFM
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-6293
Mailing Address - Fax:212-342-2717
Practice Address - Street 1:622 W 168TH ST PH 16-66
Practice Address - Street 2:COLUMBIA UNIVERSITY MEDICAL CENTER, DEPT OBGYN, DIV MFM
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-6293
Practice Address - Fax:212-342-2717
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269708-1207V00000X, 207VM0101X
PAMD443680207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology