Provider Demographics
NPI:1386642247
Name:MARCUS, CRAIG H (MD)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:H
Last Name:MARCUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:825 E GATE BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2136
Mailing Address - Country:US
Mailing Address - Phone:516-804-5200
Mailing Address - Fax:516-240-6540
Practice Address - Street 1:4212 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5701
Practice Address - Country:US
Practice Address - Phone:516-731-4800
Practice Address - Fax:516-731-4805
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2019-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY193571207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF73159Medicare UPIN
NY17J891Medicare ID - Type Unspecified