Provider Demographics
NPI:1528149978
Name:DIANE H MORRISON MD
Entity type:Organization
Organization Name:DIANE H MORRISON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:H
Authorized Official - Last Name:GEERHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-565-0352
Mailing Address - Street 1:37 MAPLE ROAD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-565-0352
Mailing Address - Fax:716-565-0354
Practice Address - Street 1:37 MAPLE ROAD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-565-0352
Practice Address - Fax:716-565-0354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201216207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G97241Medicare UPIN
BA0368Medicare ID - Type Unspecified
NYBB5606Medicare ID - Type Unspecified