Provider Demographics
NPI:1689970410
Name:MARKESIC, ELEONORA (DO)
Entity Type:Individual
Prefix:
First Name:ELEONORA
Middle Name:
Last Name:MARKESIC
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 GREENWAY TER
Mailing Address - Street 2:APT 36W
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1025
Mailing Address - Country:US
Mailing Address - Phone:917-887-7826
Mailing Address - Fax:888-580-7425
Practice Address - Street 1:9 E 68TH ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4915
Practice Address - Country:US
Practice Address - Phone:646-504-6844
Practice Address - Fax:888-580-7425
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY60266178207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology