Provider Demographics
NPI:1568816742
Name:DR. MORGENSTERN MEDICAL PLLC
Entity Type:Organization
Organization Name:DR. MORGENSTERN MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGENSTERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-872-2747
Mailing Address - Street 1:672 DOGWOOD AVE
Mailing Address - Street 2:# 339
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-3247
Mailing Address - Country:US
Mailing Address - Phone:516-778-7533
Mailing Address - Fax:516-778-7534
Practice Address - Street 1:672 DOGWOOD AVE
Practice Address - Street 2:# 339
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-3247
Practice Address - Country:US
Practice Address - Phone:516-778-7533
Practice Address - Fax:516-778-7534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty