Individual
MR. EDWARD M MCMORRIS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6207 WOODSIDE AVE, WOODSIDE, NY 11377-3576
(718) 898-5085
(718) 898-5085
Mailing address
6207 WOODSIDE AVE, WOODSIDE, NY 11377-3576
(718) 898-5085
(718) 898-5582
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
28720
NY
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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