Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 148903 | NY |
N | 2080P0214X | Pediatric Pulmonologist | 148903 | NY |
NPI | 1134114192 |
---|---|
Provider Name | Michael G Marcus |
First Address | Brooklyn, NY 11219-2919 |
Second Address | Brooklyn, NY 11219-2918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 25/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0907635 | (05) | NY |
113491197 | MULTIPLAN (01) | NY |
113491197 | PHCS (01) | NY |
148903-A15 | HEALTH FIRST (01) | NY |
202460 | UNITED HEALTH CARE (01) | NY |
299910401 | HEALTH PLUS (01) | NY |
3C2614 | HEALTH NET (01) | NY |
4293337 | AETNA PPO (01) | NY |
82N0131 | NEIGHBORHOOD HEALTH (01) | NY |
92Q181 | EMPIRE BCBS (01) | NY |
BKX0148-13 | AMERICHOICE (01) | NY |
C10591 | (02) | NY |
MM8903 | ATLANTIS HEALTH PLAN (01) | NY |
P2037616 | OXFORD HEALTH PLANS (01) | NY |