Provider Demographics
NPI:1083980189
Name:MARKS, DOUGLAS KANTER (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:KANTER
Last Name:MARKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 W 42ND ST APT 20E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-1967
Mailing Address - Country:US
Mailing Address - Phone:516-647-2013
Mailing Address - Fax:
Practice Address - Street 1:177 FORT WASHINGTON AVENUE
Practice Address - Street 2:6MHB-ROOM 635
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-7115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274527207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology