Provider Demographics
NPI:1528856127
Name:MORGADO, ISAI
Entity type:Individual
Prefix:
First Name:ISAI
Middle Name:
Last Name:MORGADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 PELHAMDALE AVE APT PI
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-1000
Mailing Address - Country:US
Mailing Address - Phone:631-327-1366
Mailing Address - Fax:
Practice Address - Street 1:828 PELHAMDALE AVE APT PI
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-1000
Practice Address - Country:US
Practice Address - Phone:631-327-1366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPENDING122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist