Provider Demographics
NPI:1518019405
Name:FERDSCHNEIDER, MARCY (DO)
Entity Type:Individual
Prefix:DR
First Name:MARCY
Middle Name:
Last Name:FERDSCHNEIDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MARCY
Other - Middle Name:
Other - Last Name:GURVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:726 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9502
Mailing Address - Country:US
Mailing Address - Phone:212-443-1074
Mailing Address - Fax:212-443-1031
Practice Address - Street 1:726 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9502
Practice Address - Country:US
Practice Address - Phone:212-443-1074
Practice Address - Fax:212-443-1031
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203929207R00000X, 208000000X
CA20A8529207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics