Individual
DR. MAXINE MOLLY MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
18 CRESCENT RD, GREAT NECK, NY 11021-2709
(516) 482-6089
(516) 482-6089
Mailing address
18 CRESCENT RD, GREAT NECK, NY 11021-2709
(516) 482-6089
(516) 482-6089
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9902
NY
Other
Enumeration date
12/31/2006
Last updated
05/17/2010
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