| Lee Morgentaler Do Pc | |
|
80 Old Tappan Rd Tappan NY 10983-2401 | |
| (845) 398-2873 | |
| Not Available |
| Full Name | Lee Morgentaler Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 80 Old Tappan Rd, Tappan, New York |
| Authorized Official Name and Position | Eileen Dipaolo (ADMINISTRATOR) |
| Authorized Official Contact | 9147717335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Morgentaler Do Pc 80 Old Tappan Rd Tappan NY 10983-2401 Ph: (845) 398-2873 | Lee Morgentaler Do Pc 80 Old Tappan Rd Tappan NY 10983-2401 Ph: (845) 398-2873 |
| NPI Number | 1285119719 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 10/01/2018 |
| Medicare PECOS PAC ID | 8628313038 |
|---|---|
| Medicare Enrollment ID | O20181212003048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285119719 | NPI | - | NPPES |
| 209655 | Other | NY | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lee Morgentaler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154437333 PECOS PAC ID: 3779472329 Enrollment ID: I20040312000328 |
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