1013389980 NPI number — MRS. ESCARLET DEYANIRA MORGAN BS

Table of content: MRS. ESCARLET DEYANIRA MORGAN BS (NPI 1013389980)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013389980 NPI number — MRS. ESCARLET DEYANIRA MORGAN BS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORGAN
Provider First Name:
ESCARLET
Provider Middle Name:
DEYANIRA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
BS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MORGAN
Provider Other First Name:
ESCARLET
Provider Other Middle Name:
DEYANIRA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
BS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1013389980
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/17/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
275 NORTH ST
Provider Second Line Business Mailing Address:
ACT TEAM
Provider Business Mailing Address City Name:
HARRISON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10528-1140
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-925-5460
Provider Business Mailing Address Fax Number:
914-925-5116

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
275 NORTH ST
Provider Second Line Business Practice Location Address:
ACT TEAM
Provider Business Practice Location Address City Name:
HARRISON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10528-1140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-925-5460
Provider Business Practice Location Address Fax Number:
914-925-5116
Provider Enumeration Date:
10/30/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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