# ANDREW T MARSHALL MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750471553
- **Authorized official:** ANDREW TODD MARSHALL MD (PRESIDENT)
- **Authorized official phone:** (516) 593-4200

## Contact information

- **Practice address:** 1800 ROCKAWAY AVE, SUITE 201, HEWLETT, NY 11557-1665
- **Practice address phone:** (516) 593-4200
- **Mailing address:** 16 FARMSTEAD LN, GLEN HEAD, NY 11545-2602
- **Mailing address phone:** (516) 625-8985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 193405 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/06/2009