Individual
DR. MARC ERIC MARDELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8268 164TH ST BLDG 7TH, JAMAICA, NY 11432-1121
(718) 883-4583
Mailing address
8268 164TH ST BLDG 7TH, JAMAICA, NY 11432-1121
(718) 883-4583
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
330597
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
07/26/2024
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