Healthcare Provider Details

I. General information

NPI: 1003876020
Provider Name (Legal Business Name): DENNIS MARCUS MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 ROUTE 9
VALATIE NY
12184
US

IV. Provider business mailing address

20 LEWIS AVE
GT BARRINGTON MA
01230
US

V. Phone/Fax

Practice location:
  • Phone: 518-758-6922
  • Fax:
Mailing address:
  • Phone: 413-528-1845
  • Fax: 413-528-3667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS MARCUS
Title or Position: EXECUTIVE DIRECTOR
Credential: MD
Phone: 413-528-1845