Organization
ANDREW T MARSHALL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW TODD MARSHALL MD (PRESIDENT)
(516) 593-4200
Entity
Organization
Contact information
Practice address
1800 ROCKAWAY AVE, SUITE 201, HEWLETT, NY 11557-1665
(516) 593-4200
Mailing address
16 FARMSTEAD LN, GLEN HEAD, NY 11545-2602
(516) 625-8985
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
193405
NY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/13/2006
Last updated
08/06/2009
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