Individual
DR. MARIUS LEON PESSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 HILLSIDE AVE, SUITE 102, NEW HYDE PARK, NY 11040-2501
(516) 437-1616
(516) 354-6048
Mailing address
1575 HILLSIDE AVE, SUITE 102, NEW HYDE PARK, NY 11040-2501
(516) 437-1616
(516) 354-6048
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
114082
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112458161
1199 NATIONAL BENEFIT FUN
NY
01
—
11A39
EMPIRE BLUE SHIELD
NY
01
—
1532050
UNITED HEALTHCARE
NY
01
—
2C8020
HEALTHNET
NY
01
—
41791
VYTRA
NY
01
—
46599
MDNY
NY
01
—
5504617001
CIGNA
NY
01
—
AS807
OXFORD
NY
Enumeration date
06/24/2006
Last updated
06/06/2013
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