Organization
936 FIFTH AVE MEDICAL OFFICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC EVERETT MD (MEDICAL DIRECTOR)
(212) 774-7715
Entity
Organization
Contact information
Practice address
936 5TH AVE STE 1, NEW YORK, NY 10021-2653
(212) 774-7715
Mailing address
936 5TH AVE STE 1, NEW YORK, NY 10021-2653
(212) 774-7715
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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