Provider Demographics
NPI:1205089141
Name:MORAWA, EWELINA (MD)
Entity type:Individual
Prefix:
First Name:EWELINA
Middle Name:
Last Name:MORAWA
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 1:525 EAST 68TH STREET,
Mailing Address - Street 2:PAYSON 3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-746-3481
Mailing Address - Fax:212-746-8246
Practice Address - Street 1:525 EAST 68TH STREET,
Practice Address - Street 2:PAYSON 3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-746-3481
Practice Address - Fax:212-746-8246
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.122007207R00000X
NY253552207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine