Individual
DR. MICHAEL P MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 EXECUTIVE PARK DR, ALBANY, NY 12203-3791
(518) 641-6319
(518) 641-6850
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
177463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401053014
BSNENY
NY
05
—
01249834
—
NY
01
—
070123000054
FIDELIS
NY
01
—
10006143
CDPHP
NY
01
—
193AS1
EMPIRE BC
NY
01
—
200094
SENIOR WHOLE HEALTH
NY
01
—
5002022
AETNA
NY
01
—
711043
MVP
NY
01
—
72670
GHI/HMO
NY
Enumeration date
10/05/2006
Last updated
01/18/2018
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