Provider Demographics
NPI:1801161963
Name:MORGAN, GOYA S (LPN)
Entity type:Individual
Prefix:MS
First Name:GOYA
Middle Name:S
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:GOYA
Other - Middle Name:ANTOINETTE
Other - Last Name:SINGLETON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:31 SOMERSET STREET
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14611
Mailing Address - Country:US
Mailing Address - Phone:585-298-1928
Mailing Address - Fax:
Practice Address - Street 1:31 SOMERSET ST.
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611
Practice Address - Country:US
Practice Address - Phone:585-298-1928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299571-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse