Individual
MICHAEL MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
360 CENTRAL AVE STE 110, LAWRENCE, NY 11559-1604
(646) 784-2022
Mailing address
360 CENTRAL AVE STE 110, LAWRENCE, NY 11559-1604
(646) 784-2022
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024615
NY
Other
Enumeration date
10/23/2019
Last updated
01/24/2022
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