Individual
ELI MARCOVICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1090 AMSTERDAM AVE, SUITE 9A, NEW YORK, NY 10025-1737
(212) 662-0399
(212) 662-0259
Mailing address
1090 AMSTERDAM AVENUE, SUITE 9A, NEW YORK, NY 10025
(212) 662-0399
(212) 662-0259
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
133044
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00773895
—
NY
01
—
A400063531
MEDICARE ID
NY
Enumeration date
08/10/2006
Last updated
08/27/2012
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