Individual
DR. DOUGLAS EDWARD MARRATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-3477
(212) 342-6054
Mailing address
630 W 168TH ST # 4, BOX 4, NEW YORK, NY 10032-3725
(212) 305-3477
(212) 342-6054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
202942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01676668
—
NY
Enumeration date
11/01/2006
Last updated
11/03/2016
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