Provider Demographics
NPI:1831537711
Name:MORRING, STEPHAN
Entity type:Individual
Prefix:
First Name:STEPHAN
Middle Name:
Last Name:MORRING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8131 BAXTER AVE
Mailing Address - Street 2:6H
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1315
Mailing Address - Country:US
Mailing Address - Phone:347-738-4211
Mailing Address - Fax:
Practice Address - Street 1:8131 BAXTER AVE
Practice Address - Street 2:6H
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1315
Practice Address - Country:US
Practice Address - Phone:347-738-4211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider