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Individual

DR. ELIZABETH R MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1444 WESTERN AVE, SUITE D, ALBANY, NY 12203-3458
(518) 452-0587
(518) 218-0152
Mailing address
1444 WESTERN AVE, SUITE D, ALBANY, NY 12203-3458
(518) 452-0587
(518) 218-0152

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
257434
NY
208000000X
Pediatrics Physician
257434
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03246953
NY
Enumeration date
06/10/2008
Last updated
05/21/2021
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