Provider Demographics
NPI:1982068995
Name:MORGAN ROSE MANASSE PT DPT PLLC
Entity Type:Organization
Organization Name:MORGAN ROSE MANASSE PT DPT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-421-1969
Mailing Address - Street 1:3 PETER COOPER RD
Mailing Address - Street 2:APT 11A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6612
Mailing Address - Country:US
Mailing Address - Phone:212-421-1969
Mailing Address - Fax:212-223-0198
Practice Address - Street 1:3 PETER COOPER RD
Practice Address - Street 2:APT 11A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6612
Practice Address - Country:US
Practice Address - Phone:212-421-1969
Practice Address - Fax:212-223-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy