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General NPI Number Information
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NPI Number | 1922087766
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Entity Type | Individual
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Provider Name | SERGIU L MARCUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 140 E 80TH ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10075-0306
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Country | US
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Telephone | 212-772-2500
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Fax | 212-772-6944
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Provider Business Mailing Address
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Address Line | 66 CLOVER DR
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City | GREAT NECK
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State | NY
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Zip | 11021-1030
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Country | US
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Telephone | 212-772-2500
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Fax | 212-772-6944
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 150467
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 150467
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 150467-1
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License Number State | NY
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