Provider Demographics
NPI:1841565025
Name:FOSTER, MORRINE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:MORRINE
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MORRINE
Other - Middle Name:
Other - Last Name:FOSTER-HUEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA
Mailing Address - Street 1:506 LENOX AVE.
Mailing Address - Street 2:HARLEM HOSPITAL CENTE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037
Mailing Address - Country:US
Mailing Address - Phone:646-643-9023
Mailing Address - Fax:
Practice Address - Street 1:506. LENOX AVE.
Practice Address - Street 2:HARLEM HOSPITAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-939-4335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015536363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant