Marcia J Nackenson
Adolescent Medicine
503 Grasslands Rd Ste. 200
Valhalla
, New York 10595-1503
Marcia J Nackenson
Adolescent Medicine
503 Grasslands Rd Ste. 200
Valhalla
, New York 10595-1503
(914) 345-1755
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Marcia J Nackenson
- 503 Grasslands Rd Ste 200
- Valhalla, NY
- Zip : 10595-1503
- Fax : (914) 345-1755
- Phone : (914) 304-5288
Second Address
- Marcia J Nackenson
- 503 Grasslands Rd Ste. 200
- Valhalla, NY
- Zip : 10595-1503
- Fax : (914) 345-1755
- Phone : (914) 304-5288
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 156197 | NY |
National Provider Identifier
| NPI | 1154320174 |
|---|---|
| Provider Name | Marcia J Nackenson |
| First Address | Valhalla, NY 10595-1503 |
| Second Address | Valhalla, NY 10595-1503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2005 |
| Last Update Date | 23/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01026246 | (05) | NY |
| A96605 | (02) | NY |
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.