Individual
TALIA MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
535 W 110TH ST APT 1E, NEW YORK, NY 10025-2021
(212) 280-4740
Mailing address
535 W 110TH ST APT 1E, NEW YORK, NY 10025-2021
(212) 280-4740
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
032349
NY
Other
Enumeration date
12/14/2022
Last updated
09/17/2024
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