Individual
ALDEAN IVANA MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4000
Mailing address
325 E 93RD ST, APT 1F, BROOKLYN, NY 11212-1804
(718) 938-6360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
019423
NY
363AM0700X
Medical Physician Assistant
Primary
019423
NY
Other
Enumeration date
03/24/2016
Last updated
05/19/2023
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