Provider Demographics
NPI:1609652882
Name:ELMORE, MORGAN (RD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:ELMORE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E 38TH ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9809
Mailing Address - Country:US
Mailing Address - Phone:484-888-9481
Mailing Address - Fax:
Practice Address - Street 1:302 E 38TH ST APT 2A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9809
Practice Address - Country:US
Practice Address - Phone:484-888-9481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered