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NPI Code Detail

MEDICARE: DR. CAROLINA ZARAGOVIA MARCUS MD

MEDICARE: DR. CAROLINA ZARAGOVIA MARCUS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician253830NY
2390200000XStudent in an Organized Health Care Education/Training Program
3207K00000XAllergy & Immunology Physician253830NY

General Provider Information

NPI Number : 1902812738
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINA ZARAGOVIA MARCUS MD
Provider Business Mailing Address
First Line : 2337 CLINTON AVE S
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-2645
Country : US
Telephone Number : 305-588-7916
Fax Number :
Provider Business Practice Location Address
First Line : 2337 CLINTON AVE S
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-2645
Country : US
Telephone Number : 305-588-7916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/06/2023

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