MEDICARE: MRS. MARSI PAIGE MARKOWITZ RD, CDN

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
1	133V00000X	Registered Dietitian	007619	NY

General Provider Information

NPI Number	:	1164898805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARSI PAIGE MARKOWITZ RD, CDN

Provider Business Mailing Address
First Line	:	14 FIR DR
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11024-1549
Country	:	US
Telephone Number	:	516-263-6655
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 FIR DR
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11024-1549
Country	:	US
Telephone Number	:	516-263-6655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2015
Last Update Date	:	06/27/2020

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