Provider Demographics
NPI:1053336255
Name:MORGAN, AYMAN HABIB (MD)
Entity type:Individual
Prefix:
First Name:AYMAN
Middle Name:HABIB
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:2125 RIVER RD
Practice Address - Street 2:STE 303
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1135
Practice Address - Country:US
Practice Address - Phone:518-831-2500
Practice Address - Fax:518-831-2510
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2018-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY240474207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY061220000018OtherFIDELIS CARE
NY7788864OtherAETNA
NY844L21OtherEMPIRE BLUECROSS BLUESHILED
NY000411942001OtherBSNENY
NY2355S1OtherBLUE CROSS
NY02792496Medicaid
NY10113735OtherCDPHP
NY160615000070OtherFIDELIS
NY4149459OtherMVP
NY11571812OtherCAQH
NY11571812OtherCAQH
NYJ400298700Medicare PIN