Individual
DR. FRED WILLIAM MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
770 JERICHO TPKE, SYOSSET, NY 11791-4516
(516) 496-2049
(516) 496-2049
Mailing address
770 JERICHO TPKE, SYOSSET, NY 11791-4516
(516) 496-2049
(516) 496-2049
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
132700
NY
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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