Provider Demographics
NPI:1811312333
Name:MORRISON, ALICIA NORA (RPA-C)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:NORA
Last Name:MORRISON
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11110 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2322
Mailing Address - Country:US
Mailing Address - Phone:718-847-2688
Mailing Address - Fax:718-412-9026
Practice Address - Street 1:11110 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2322
Practice Address - Country:US
Practice Address - Phone:718-847-2688
Practice Address - Fax:718-412-9026
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017183-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherT
NY181131233301OtherVILLAGECARE MAX
NY5464839OtherAETNA
NYP017183-A33OtherHEALTHFIRST
NYYH1706492OtherCIGNA
NY05221590Medicaid
NYMIDA50025-0OtherVNS CHOICE
NY0209100000OtherAFFINITY
NY2432256POtherEMBLEM HEALTH
NYP5173538OtherOXFORD