Individual
MARC IMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1003 WALNUT ST, ELMIRA, NY 14901-1007
(607) 732-5646
(607) 732-0373
Mailing address
1003 WALNUT ST, ELMIRA, NY 14901-1007
(607) 732-5646
(607) 732-0373
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
174214
NY
208D00000X
General Practice Physician
Primary
174214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000915192004
BCBS
NY
05
—
01144467
—
NY
Enumeration date
08/09/2006
Last updated
02/06/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us