Individual
MARCUS MARIO MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1781 RIVERSIDE DR, NEW YORK, NY 10034-5341
(646) 561-9673
(646) 661-4499
Mailing address
954 LEXINGTON AVE # 2095, NEW YORK, NY 10021-5055
(646) 561-9673
(646) 661-4499
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F402406-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F402406-1
STATE OF NEW YORK EDUCATION DEPARTMENT
NY
Enumeration date
06/26/2018
Last updated
08/09/2023
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