Healthcare Provider Details

I. General information

NPI: 1598765646
Provider Name (Legal Business Name): MARKUS ERB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BRADHURST AVE STE. 1400
HAWTHORNE NY
10532-2140
US

IV. Provider business mailing address

400 E 3RD ST
DULUTH MN
55805-1951
US

V. Phone/Fax

Practice location:
  • Phone: 914-594-4370
  • Fax: 914-594-4513
Mailing address:
  • Phone: 218-786-8364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number23064
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number176523
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: