Provider Demographics
NPI:1477138642
Name:MORGAN-SAKS, RENEE IMANI
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:IMANI
Last Name:MORGAN-SAKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 W 204TH ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-3914
Mailing Address - Country:US
Mailing Address - Phone:917-463-8477
Mailing Address - Fax:
Practice Address - Street 1:101 W 123RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-5511
Practice Address - Country:US
Practice Address - Phone:212-662-5536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator