Provider Demographics
NPI:1851499875
Name:MORGAN, JULIA MARY (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MARY
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HIGHLAND PARKWAY
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7325 COMMUNITY DR.
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:NY
Practice Address - Zip Code:14485
Practice Address - Country:US
Practice Address - Phone:585-624-1960
Practice Address - Fax:585-624-2052
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209357207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY209357Medicaid
NY101744BFOtherPREFERRED CARE
NYP010209357OtherEXCELLUS
NY209357Medicaid