Provider Demographics
NPI:1467475764
Name:MORRIS, ROBERT PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PETER
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:222 E MAIN ST
Mailing Address - Street 2:SUITE 330
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2871
Mailing Address - Country:US
Mailing Address - Phone:631-724-4488
Mailing Address - Fax:631-366-0958
Practice Address - Street 1:222 E MAIN ST
Practice Address - Street 2:SUITE 330
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2871
Practice Address - Country:US
Practice Address - Phone:631-724-4488
Practice Address - Fax:631-366-0958
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099417207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY128951OtherAETNA
0C5555OtherHEALTHNET
0043350OtherGHI-GROUP HEALTH INSURANCE
NYCS883OtherOXFORD HEALTH PLANS
0800349OtherUNITEDHEALTHCARE
NY001698833Medicaid
128951OtherAETNA
182022742OtherPALMETTO - GBA
NYD47447Medicare UPIN
NY001698833Medicaid