Individual
DR. MARCELLUS R CEPHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
327 ORISKANY BLVD, WHITESBORO, NY 13492-1422
(315) 768-7181
(315) 768-7182
Mailing address
327 ORISKANY BLVD, WHITESBORO, NY 13492-1422
(315) 768-7181
(315) 768-7182
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
207888
NY
174400000X
Specialist
D0059532
MD
2084P0800X
Psychiatry Physician
Primary
D0059532
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01769407
—
NY
01
—
040426031578
FIDELIS
NY
01
—
073987
EMPIRE
NY
01
—
3000911
MVP
NY
05
—
4022891
—
MD
01
—
629706
UNITED HEALTH CARE
NY
Enumeration date
10/05/2005
Last updated
03/21/2024
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