Provider Demographics
NPI:1043210230
Name:MORGAN, MARCIA M (MD)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:M
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2426 EASTCHESTER RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469
Mailing Address - Country:US
Mailing Address - Phone:718-231-6547
Mailing Address - Fax:347-964-1590
Practice Address - Street 1:2426 EASTCHESTER RD
Practice Address - Street 2:STE 204
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469
Practice Address - Country:US
Practice Address - Phone:718-231-6547
Practice Address - Fax:347-964-1590
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY205450-1207R00000X
NY205450207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY025AG2OtherEMPIRE BLUE CROSS-COMMERC
NY134193942OtherCOMMERCIAL
NY205450-NYOther1199 BENEFIT FUND
NY0007806295OtherAETNA
NY0838466OtherCIGNA
NY2594474OtherGHI
NY2639311OtherAETNA HMO
NYP2540735OtherOXFORD
NY02197639Medicaid
NY1P0515OtherPHS
NY205450OtherHIP HEALTH PLANS OF NY
NY205450-NYOther1199 BENEFIT FUND
NY2639311OtherAETNA HMO
NY2594474OtherGHI