1770848350 NPI number — WESTCHESTER MEDICAL GROUP CORP

Table of content: MORGAN ELIZABETH MARCHANT LSW (NPI 1134828973)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770848350 NPI number — WESTCHESTER MEDICAL GROUP CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESTCHESTER MEDICAL GROUP CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770848350
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8336 SW 40TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33155-3337
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-220-4024
Provider Business Mailing Address Fax Number:
305-220-1683

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8336 SW 40TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33155-3337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-220-4024
Provider Business Practice Location Address Fax Number:
305-220-1683
Provider Enumeration Date:
07/10/2012

Additional Information

Authorized Official

Authorized Official Last Name:
GONZALEZ-ABREU
Authorized Official First Name:
FRANCISCO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-220-4024

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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