Provider Demographics
NPI:1770761405
Name:GEORGE MORGANO
Entity type:Organization
Organization Name:GEORGE MORGANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGANO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-384-2682
Mailing Address - Street 1:169 KENT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-2105
Mailing Address - Country:US
Mailing Address - Phone:718-947-0709
Mailing Address - Fax:718-349-7783
Practice Address - Street 1:169 KENT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-2105
Practice Address - Country:US
Practice Address - Phone:718-947-0709
Practice Address - Fax:718-349-7783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0057661213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5512970001Medicare NSC