Provider Demographics
NPI:1275527566
Name:MCMORROW, CHRISTIE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:MARIE
Last Name:MCMORROW
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 1:1200 JEFFERSON RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-3158
Mailing Address - Country:US
Mailing Address - Phone:585-434-5492
Mailing Address - Fax:585-434-5494
Practice Address - Street 1:1200 JEFFERSON RD
Practice Address - Street 2:SUITE 310
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3158
Practice Address - Country:US
Practice Address - Phone:585-434-5492
Practice Address - Fax:585-434-5494
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0073493207T00000X
NY251857207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253696000Medicaid
G60548Medicare UPIN
FL253696000Medicaid
FL253696000Medicaid