Provider Demographics
NPI:1912448184
Name:MORGIEWICZ, JOAN
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:MORGIEWICZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 LAURA DR
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-4411
Mailing Address - Country:US
Mailing Address - Phone:845-255-3840
Mailing Address - Fax:
Practice Address - Street 1:37 LAURA DR
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-4411
Practice Address - Country:US
Practice Address - Phone:845-255-3840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY689993961174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
689993961OtherTEACHER