Provider Demographics
NPI:1861537672
Name:MORRIS-TAYLOR, ESMIE (GNP)
Entity type:Individual
Prefix:MS
First Name:ESMIE
Middle Name:
Last Name:MORRIS-TAYLOR
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:MS
Other - First Name:ESMIE
Other - Middle Name:
Other - Last Name:MORRIS-TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:GNP
Mailing Address - Street 1:25901 148 AVENUE ROSEDALE
Mailing Address - Street 2:1072 GRANDCOURSE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465
Mailing Address - Country:US
Mailing Address - Phone:718-681-4000
Mailing Address - Fax:718-681-5165
Practice Address - Street 1:1072 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-3901
Practice Address - Country:US
Practice Address - Phone:718-681-4000
Practice Address - Fax:718-681-5165
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340581363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ13589Medicare UPIN