Marc Maller
Family Doctor - Geriatric Medicine
700 E Brighton Avenue
Syracuse
, New York 13205
Marc Maller
Family Doctor - Geriatric Medicine
700 E Brighton Avenue
Syracuse
, New York 13205
(315) 469-6558
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Marc Maller
- 700 E Brighton Avenue
- Syracuse, NY
- Zip : 13205
- Fax : (315) 469-6558
- Phone : (315) 413-3279
Second Address
- Marc Maller
- 700 E Brighton Avenue
- Syracuse, NY
- Zip : 13205
- Fax : (315) 469-6558
- Phone : (315) 413-3279
Reviews
FAQs
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What type of doctor is Marc Maller
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 144029 | NY |
National Provider Identifier
| NPI | 1134222144 |
|---|---|
| Provider Name | Marc Maller |
| First Address | Syracuse, NY 13205 |
| Second Address | Syracuse, NY 13205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2006 |
| Last Update Date | 06/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B88484 | (02) |
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.