Provider Demographics
NPI:1790861276
Name:PHYSICIAN HEALTH CARE PC
Entity Type:Organization
Organization Name:PHYSICIAN HEALTH CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARZOUK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-338-9790
Mailing Address - Street 1:265 POST AVENUE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-2233
Mailing Address - Country:US
Mailing Address - Phone:516-338-9790
Mailing Address - Fax:516-338-9791
Practice Address - Street 1:265 POST AVENUE
Practice Address - Street 2:SUITE 108
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-2233
Practice Address - Country:US
Practice Address - Phone:516-338-9790
Practice Address - Fax:516-338-9791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY156543207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty