Individual
DR. MARCUS D'AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3288
(718) 780-3154
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3288
(718) 780-3154
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
194119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01488646
—
NY
Enumeration date
11/28/2006
Last updated
09/15/2010
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