Dr. Fred William Marcus
Family Doctor - Addiction Medicine
770 Jericho Tpke
Syosset
, New York 11791-4516
Dr. Fred William Marcus
Family Doctor - Addiction Medicine
770 Jericho Tpke
Syosset
, New York 11791-4516
(516) 496-2049
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Fred William Marcus
- 770 Jericho Tpke
- Syosset, NY
- Zip : 11791-4516
- Fax : (516) 496-2049
- Phone : (516) 496-2049
Second Address
- Dr. Fred William Marcus
- 770 Jericho Tpke
- Syosset, NY
- Zip : 11791-4516
- Fax : (516) 496-2049
- Phone : (516) 496-2049
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 132700 | NY |
National Provider Identifier
| NPI | 1710123963 |
|---|---|
| Provider Name | Dr. Fred William Marcus |
| First Address | Syosset, NY 11791-4516 |
| Second Address | Syosset, NY 11791-4516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/12/2008 |
| Last Update Date | 17/12/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.