Organization
MARCHESE INTEGRATIVE MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN MARCHESE MD (DIRECTOR)
(917) 573-2091
Entity
Organization
Contact information
Practice address
7303 GRAND AVE, MASPETH, NY 11378-1523
(718) 899-5433
Mailing address
7303 GRAND AVE, MASPETH, NY 11378-1523
(718) 899-5433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
05/24/2022
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