Provider Demographics
NPI:1922177781
Name:OSOWSKY, MORRIS J (MD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:J
Last Name:OSOWSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2468
Mailing Address - Country:US
Mailing Address - Phone:914-834-3882
Mailing Address - Fax:
Practice Address - Street 1:2001 PALMER AVE
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2468
Practice Address - Country:US
Practice Address - Phone:914-834-3882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY130072207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00442008Medicaid
NY00442008Medicaid
NY25A202Medicare PIN