Provider Demographics
NPI:1164898805
Name:MARKOWITZ, MARSI PAIGE (RD, CDN)
Entity Type:Individual
Prefix:MRS
First Name:MARSI
Middle Name:PAIGE
Last Name:MARKOWITZ
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 FIR DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1549
Mailing Address - Country:US
Mailing Address - Phone:516-263-6655
Mailing Address - Fax:
Practice Address - Street 1:14 FIR DR
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11024-1549
Practice Address - Country:US
Practice Address - Phone:516-263-6655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007619133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered