Provider Demographics
NPI:1437366788
Name:MARKS, CORIE LEE (RCP RRT)
Entity Type:Individual
Prefix:MS
First Name:CORIE
Middle Name:LEE
Last Name:MARKS
Suffix:
Gender:F
Credentials:RCP RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 W 75TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-1903
Mailing Address - Country:US
Mailing Address - Phone:702-797-0569
Mailing Address - Fax:
Practice Address - Street 1:142 W 75TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-1903
Practice Address - Country:US
Practice Address - Phone:702-797-0569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other