Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 224018 | NY |
N | 207R00000X | Internist | 224018 | NY |
N | 111NI0900X | Internist | 224018 | NY |
NPI | 1336222165 |
---|---|
Provider Name | Mariana Marcu |
First Address | New York, NY 10016 |
Second Address | New York, NY 10016-1201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 25/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02270780 | (05) | NY |
H56274 | (02) |