Individual
MICHAEL MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
261 5TH AVE, SUITE 1709, NEW YORK, NY 10016-7701
(212) 488-7777
Mailing address
261 5TH AVE, SUITE 1709, NEW YORK, NY 10016-7701
(212) 488-7777
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045880
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02187382
—
NY
Enumeration date
03/30/2006
Last updated
11/12/2015
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