Individual
MARC ALEXANDER PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST STE 260, NEW YORK, NY 10032-3720
(212) 305-6234
Mailing address
622 W 168TH ST STE 260, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
273590
NY
207P00000X
Emergency Medicine Physician
A111372
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03924265
—
NY
Enumeration date
06/27/2008
Last updated
05/30/2023
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