Basic Information
| Provider Information | |||||||||
| NPI: | 1740896133 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWITZER | ||||||||
| FirstName: | MORGAN | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | BS, MS, PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5015 SPAULDING DR | ||||||||
| Address2: | |||||||||
| City: | CLARENCE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 140311573 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7163817952 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1425 PORTLAND AVE | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146213011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5859224020 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2020 | ||||||||
| LastUpdateDate: | 12/07/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 02731801 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.