Provider Demographics
NPI:1255332524
Name:MORR, MAGGIE (MD)
Entity type:Individual
Prefix:DR
First Name:MAGGIE
Middle Name:
Last Name:MORR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6360 98TH ST
Mailing Address - Street 2:APT F5
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2238
Mailing Address - Country:US
Mailing Address - Phone:718-896-1230
Mailing Address - Fax:831-854-1230
Practice Address - Street 1:6360 98TH ST
Practice Address - Street 2:APT F5
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2238
Practice Address - Country:US
Practice Address - Phone:718-896-1230
Practice Address - Fax:831-854-1230
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2344662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02634531Medicaid
NY06936Medicare ID - Type UnspecifiedGHI MEDICARE
NY578N51Medicare ID - Type UnspecifiedEMPIRE MEDICARE
NY02634531Medicaid