Healthcare Provider Details

I. General information

NPI: 1407073190
Provider Name (Legal Business Name): MARIE MICHELLE FOUCH CRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE
BROOKLYN NY
11203-2057
US

IV. Provider business mailing address

270 CLARKSON AVE APT 206
BROOKLYN NY
11226-2186
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-4526
  • Fax:
Mailing address:
  • Phone: 718-941-3899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number001614-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2278C0205X
TaxonomyCritical Care Certified Respiratory Therapist
License Number001614-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2278E0002X
TaxonomyEmergency Care Certified Respiratory Therapist
License Number001614-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2278E1000X
TaxonomyEducational Certified Respiratory Therapist
License Number001614-1
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code2278G0305X
TaxonomyGeriatric Care Certified Respiratory Therapist
License Number001614-1
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code2278G1100X
TaxonomyGeneral Care Certified Respiratory Therapist
License Number001614-1
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code2278P1004X
TaxonomyPulmonary Diagnostics Certified Respiratory Therapist
License Number001614-1
License Number StateNY
# 8
Primary TaxonomyN
Taxonomy Code2278P1005X
TaxonomyPulmonary Rehabilitation Certified Respiratory Therapist
License Number001614-1
License Number StateNY
# 9
Primary TaxonomyY
Taxonomy Code2278P3800X
TaxonomyPalliative/Hospice Certified Respiratory Therapist
License Number001614-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: