Organization
MARCELLE M.MORCOS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELLE MATTA MORCOS M.D. (OWNER)
(718) 658-2787
Entity
Organization
Contact information
Practice address
8849 163RD ST, JAMAICA, NY 11432-4046
(718) 658-2787
(718) 657-0840
Mailing address
8849 163RD ST, JAMAICA, NY 11432-4046
(718) 658-2787
(718) 657-0840
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
141730
NY
207W00000X
Ophthalmology Physician
Primary
253774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00442379
—
NY
05
—
03130747
—
NY
Enumeration date
11/09/2010
Last updated
11/09/2010
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