Individual
MARC MIZRAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(212) 746-2962
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
179441
NY
207L00000X
Anesthesiology Physician
25MA05831800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03110478
—
NY
05
—
5525900
—
NJ
01
—
P00234058
RAILROAD MEDICARE
NJ
Enumeration date
05/09/2006
Last updated
12/15/2024
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