Provider Demographics
NPI:1407277593
Name:GARFINKEL, MARC (DPT)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:
Last Name:GARFINKEL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1253 E 18TH ST
Mailing Address - Street 2:APARTMENT 2F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5313
Mailing Address - Country:US
Mailing Address - Phone:516-312-1485
Mailing Address - Fax:
Practice Address - Street 1:1253 E 18TH ST
Practice Address - Street 2:APARTMENT 2F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5313
Practice Address - Country:US
Practice Address - Phone:516-312-1485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036986-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist