Provider Demographics
NPI:1437621612
Name:MORGAN, DAVID CHRISTOPHER (NP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CHRISTOPHER
Last Name:MORGAN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:38 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-3210
Mailing Address - Country:US
Mailing Address - Phone:845-333-6500
Mailing Address - Fax:845-333-6501
Practice Address - Street 1:38 CONCORD RD
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-3210
Practice Address - Country:US
Practice Address - Phone:845-333-6500
Practice Address - Fax:845-333-6501
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-27
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60939311363L00000X
SCAPN.22455363LF0000X
NYF343879363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner