Individual
DR. MARSHALL PHILIP PRIMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 CENTRAL PARK W, 1B, NEW YORK, NY 10023-4250
(212) 769-2570
(212) 769-2931
Mailing address
320 E 25TH ST 2KK, NEW YORK, NY 10010-3172
(212) 683-3588
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
099626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00493605
—
NY
01
—
099626-C26
FIRST HEALTH
NY
01
—
0C1100
HEALTHNET
NY
01
—
1000000367
AFFINITY
NY
01
—
137516
WELLCARE
NY
01
—
3774907
CIGNA HEALTH PLANS
NY
01
—
4294225
AETNA HEALTH PLANS
NY
01
—
8778423210
UNITED HEALTHCARE
NY
01
—
959081
BLUE CROSS
NY
01
—
NP373
OXFORD HEALTH PLANS
NY
Enumeration date
10/05/2005
Last updated
07/08/2007
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