Provider Demographics
NPI:1750396511
Name:MORCARE MEDICAL CARE
Entity type:Organization
Organization Name:MORCARE MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MORDEANA
Authorized Official - Middle Name:MORQUITA
Authorized Official - Last Name:WILLIAMA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:718-604-5403
Mailing Address - Street 1:86 E 49TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-604-5403
Mailing Address - Fax:718-604-5527
Practice Address - Street 1:86 E 49TH STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-604-5403
Practice Address - Fax:718-604-5527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332834261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX ID