Provider Demographics
NPI:1811909062
Name:MOREY, ARTHUR V (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:V
Last Name:MOREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 STATE ROUTE 30
Mailing Address - Street 2:SUNMOUNT DDSO
Mailing Address - City:TUPPER LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12986-2502
Mailing Address - Country:US
Mailing Address - Phone:518-359-4217
Mailing Address - Fax:518-358-4133
Practice Address - Street 1:2445 STATE ROUTE 30
Practice Address - Street 2:
Practice Address - City:TUPPER LAKE
Practice Address - State:NY
Practice Address - Zip Code:12986-2502
Practice Address - Country:US
Practice Address - Phone:518-359-4217
Practice Address - Fax:518-358-4133
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274106208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
1811909062OtherNPI
NY04020302Medicaid
MD532RMedicare ID - Type Unspecified