Provider Demographics
NPI:1477685238
Name:MORGAN, ANN CATHERINE (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:CATHERINE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:CATHERINE
Other - Last Name:FITZGERALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:23 ROGERS PL
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1727
Mailing Address - Country:US
Mailing Address - Phone:718-217-6942
Mailing Address - Fax:718-217-5654
Practice Address - Street 1:8045 WINCHESTER BLVD BLDG 71
Practice Address - Street 2:BERNARD FINESON HILLSIDE CAMPUS
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2193
Practice Address - Country:US
Practice Address - Phone:718-217-6942
Practice Address - Fax:718-217-5654
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189017207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY189017-1OtherSTATE LICENSE
NYE58520Medicare UPIN