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Individual

DR. MARC DAVID LONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 CROSFIELD AVE STE 202, WEST NYACK, NY 10994-2219
(845) 353-4344
(845) 348-1873
Mailing address
2 CROSFIELD AVE STE 202, WEST NYACK, NY 10994-2219
(845) 353-4344
(845) 348-1873

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
154602
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000008354
GHI HMO
NY
05
00956818-03
NY
01
1000017387
AFFINITY
NY
01
122304
US HEALTHCARE
NY
01
3850735-002
CIGNA
NY
01
4199225
AETNA
NY
01
66D101
BLUE CHOICE
NY
01
958837
MVP
NY
01
RS156
OXFORD
NY
Enumeration date
12/15/2006
Last updated
07/08/2007
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