Provider Demographics
NPI:1679680359
Name:MORRIS, ADRIAN ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:ANTHONY
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PARK ST
Mailing Address - Street 2:BEHAVIORAL HEALTH DEPT
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4413
Mailing Address - Country:US
Mailing Address - Phone:518-926-3210
Mailing Address - Fax:
Practice Address - Street 1:100 PARK ST
Practice Address - Street 2:BEHAVIORAL HEALTH DEPT
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4413
Practice Address - Country:US
Practice Address - Phone:518-926-3210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1663422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
C36376Medicare UPIN
NYBB4102Medicare ID - Type Unspecified
NYBB5741Medicare ID - Type Unspecified