Provider Demographics
NPI:1326021023
Name:MORPURGO, ANDREW J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:MORPURGO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:202 TAUGHANNOCK BLVD
Mailing Address - Street 2:PO BOX 366
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-3328
Mailing Address - Country:US
Mailing Address - Phone:607-277-3257
Mailing Address - Fax:607-277-4056
Practice Address - Street 1:201 DATES DR
Practice Address - Street 2:SUITE 201
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1345
Practice Address - Country:US
Practice Address - Phone:607-277-4097
Practice Address - Fax:607-277-4142
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2008-11-13
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Provider Licenses
StateLicense IDTaxonomies
NY204013208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01672839Medicaid
NYG32819Medicare UPIN
NYBB6290Medicare ID - Type Unspecified