Provider Demographics
NPI:1558652677
Name:DONALD A. MORRIS, M.D., P.C.
Entity Type:Organization
Organization Name:DONALD A. MORRIS, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:212-688-6060
Mailing Address - Street 1:136 E 64TH ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7380
Mailing Address - Country:US
Mailing Address - Phone:212-688-6060
Mailing Address - Fax:212-688-6137
Practice Address - Street 1:136 E 64TH ST APT 2B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7380
Practice Address - Country:US
Practice Address - Phone:212-688-6060
Practice Address - Fax:212-688-6137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-23
Last Update Date:2011-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086279207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY094191Medicare UPIN