Individual
SUSAN BETH MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 WEST 85TH STREET, #1C, NEW YORK, NY 10024
(212) 222-1722
(888) 868-9848
Mailing address
1 WEST 85TH STREET, #1C, NEW YORK, NY 10024
(212) 222-1722
(888) 868-9848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
184015
NY
207RN0300X
Nephrology Physician
Primary
184015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01616628
—
NY
Enumeration date
12/08/2006
Last updated
08/17/2023
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