Individual
DR. JONATHAN ZEV MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3410 BROADWAY, 2ND FLOOR, NEW YORK, NY 10031-7400
(212) 283-7670
Mailing address
3410 BROADWAY, 2ND FLOOR, NEW YORK, NY 10031-7400
(212) 283-7670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036193-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007920
DORAL PROVIDER ID NUMBER
NY
05
—
00695854
—
NY
Enumeration date
01/02/2007
Last updated
10/27/2011
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