Individual
MARC J SAFRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8340 OSWEGO RD, LIVERPOOL, NY 13090-1026
(315) 622-1234
(315) 622-0018
Mailing address
8340 OSWEGO RD, LIVERPOOL, NY 13090-1026
(315) 622-1234
(315) 622-0018
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000004734
BLUE CROSS BLUE SHIELD
NY
05
—
01575795
—
NY
01
—
175120
MVP
NY
01
—
2121252
AETNA
—
Enumeration date
09/21/2006
Last updated
08/24/2015
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