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Individual

DR. JOHN C MARZANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
984 N BROADWAY, SUITE 302, YONKERS, NY 10701-1318
(914) 423-0600
(866) 549-2795
Mailing address
984 N BROADWAY, SUITE LL03, YONKERS, NY 10701-1318
(914) 423-0600
(866) 549-2795

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003773
NY
213ES0131X
Foot Surgery Podiatrist
N003773
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00851987
NY
01
480018657
INDIVIDUAL RR PROVIDER #
NY
Enumeration date
04/14/2006
Last updated
05/23/2019
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