Provider Demographics
NPI:1205193497
Name:MARKS, MATTHEW S (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:S
Last Name:MARKS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:525 E 68TH ST # 139
Mailing Address - Street 2:WEILL CORNELL MEDICAL CENTER DEPARTMENT OF PEDIATRICS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-3970
Mailing Address - Fax:212-746-3140
Practice Address - Street 1:525 E 68TH ST # 139
Practice Address - Street 2:WEILL CORNELL MEDICAL CENTER DEPARTMENT OF PEDIATRICS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-3970
Practice Address - Fax:212-746-3140
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2016-11-14
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Provider Licenses
StateLicense IDTaxonomies
NY280158208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics