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Contact Information

MARCUS AVENUE MEDICAL PC
232 E 30TH ST
NEW YORK, NY10016-8202
 Phone: 212-447-1609
 Fax: 212-679-4275
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Podiatrist

213E00000X 48 Podiatry
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Transplant Hepatology

207RT0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARCUS AVENUE MEDICAL PC

NPI Number 1255982542
LBN Legal business name MARCUS AVENUE MEDICAL PC
Authorized official MICHELE CUSACK - (SENIOR VICE PRESIDENT & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2019
Last updated 07/08/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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