Provider Demographics
NPI:1932161460
Name:MORNINGSTAR, ELIZABETH DANFORTH (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DANFORTH
Last Name:MORNINGSTAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 CLINTON AVE S
Mailing Address - Street 2:SUITE 610
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5720
Mailing Address - Country:US
Mailing Address - Phone:585-244-3430
Mailing Address - Fax:
Practice Address - Street 1:1815 CLINTON AVE S
Practice Address - Street 2:SUITE 610
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5720
Practice Address - Country:US
Practice Address - Phone:585-244-3430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138026207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6178OtherBLUE CROSS BLUE SHIELD
NY000916649003OtherBC/BS OF WESTERN NEW YORK
NY00469329Medicaid
NY000916649001OtherBC/BS OF WESTERN NEW YORK
NY010138026OtherBLUE CHOICE
NY000916649002OtherBC/BS OF WESTERN NEW YORK
NY9526693OtherGHI
NY102318CKOtherPREFERRED CARE
NY160009305OtherRAILROAD
NY5543325OtherAETNA
NY00469329Medicaid
NY000916649001OtherBC/BS OF WESTERN NEW YORK