Provider Demographics
NPI:1558534230
Name:MORGENSTERN, RONI R (PHD)
Entity Type:Individual
Prefix:DR
First Name:RONI
Middle Name:R
Last Name:MORGENSTERN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 JAMESVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-3701
Mailing Address - Country:US
Mailing Address - Phone:315-378-3212
Mailing Address - Fax:
Practice Address - Street 1:510 JAMESVILLE AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-3701
Practice Address - Country:US
Practice Address - Phone:315-378-3212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002512-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health