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Individual

DR. MARC MATTHEW PONZIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
13966 35TH AVE, FLUSHING, NY 11354-3524
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MB09927100
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
283427
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04630948
NY
Enumeration date
07/04/2013
Last updated
11/20/2025
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