Provider Demographics
NPI:1609287572
Name:BUSKO, MORGAN ANDERSON (MD)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:ANDERSON
Last Name:BUSKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:622 W 168TH ST PH 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-9137
Mailing Address - Fax:212-304-7050
Practice Address - Street 1:51 W 51ST ST STE 370
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1918
Practice Address - Country:US
Practice Address - Phone:914-787-3283
Practice Address - Fax:212-304-7050
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY286621207RS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine