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Organization
MORNINGSIDE MEDICAL PLLC
Active
Organization
MORNINGSIDE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTE HINSON MD (MEMBER MANAGER)
(973) 798-8280
Entity
Organization
Contact information
Practice address
2298 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027-5324
(877) 899-2829
Mailing address
2298 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027-5324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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