Individual
DR. EVELYN S. MARIENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, RM ALL1369, BROOKLYN, NY 11203-2056
(718) 270-1593
(718) 270-1535
Mailing address
450 CLARKSON AVE, BOX 1262, BROOKLYN, NY 11203-2056
(718) 270-8867
(718) 270-1794
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
179321-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01458731
—
NY
Enumeration date
12/29/2005
Last updated
11/20/2012
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