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Individual

MARLENE ELLEN RACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1 GUSTAVE L. LEVY PLACE, BOX 1194, NEW YORK, NY 10029-6574
(212) 241-8395
(212) 289-0092
Mailing address
1 GUSTAVE L. LEVY PLACE, BOX 1194, NEW YORK, NY 10029-6574
(212) 241-8395
(212) 289-0092

Taxonomy

Speciality
Code
Description
License number
State
2085R0205X
Radiological Physics Physician
Primary
155151
NY

Other

Enumeration date
07/02/2006
Last updated
01/08/2015
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