# DR. MARSHALL PHILIP PRIMACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407843352
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 099626 | NY | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00493605 | — | NY |
| 01 | — | 099626-C26 | FIRST HEALTH | NY |
| 01 | — | 0C1100 | HEALTHNET | NY |
| 01 | — | 1000000367 | AFFINITY | NY |
| 01 | — | 137516 | WELLCARE | NY |
| 01 | — | 3774907 | CIGNA HEALTH PLANS | NY |
| 01 | — | 4294225 | AETNA HEALTH PLANS | NY |
| 01 | — | 8778423210 | UNITED HEALTHCARE | NY |
| 01 | — | 959081 | BLUE CROSS | NY |
| 01 | — | NP373 | OXFORD HEALTH PLANS | NY |