Individual
JONATHAN A MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 WESTFALL RD, BLDG C-215, ROCHESTER, NY 14618-2627
(585) 341-7420
(585) 273-1255
Mailing address
PO BOX 278984, ROCHESTER, NY 14627-8984
(585) 275-0275
(585) 273-1255
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
256218
NY
2084N0400X
Neurology Physician
Primary
256218-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400029596
MEDICARE PTAN
NY
Enumeration date
08/14/2006
Last updated
07/06/2023
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