Provider Demographics
NPI:1710954169
Name:MORCOS, MARCELLE (MD)
Entity Type:Individual
Prefix:
First Name:MARCELLE
Middle Name:
Last Name:MORCOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1850
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11551-1850
Mailing Address - Country:US
Mailing Address - Phone:516-572-6705
Mailing Address - Fax:516-572-5140
Practice Address - Street 1:2201 HEMPSTEAD TPKE
Practice Address - Street 2:8TH FLOOR - PAVILLION
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1859
Practice Address - Country:US
Practice Address - Phone:516-572-6705
Practice Address - Fax:516-572-5140
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY141730207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00442379Medicaid
NY00442379Medicaid
NY25A983Medicare ID - Type Unspecified