Provider Demographics
NPI:1851537914
Name:MARCHESE-ZAM, MARIANNE (LAC)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:MARCHESE-ZAM
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:
Other - Last Name:MARCHESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2990 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5760
Mailing Address - Country:US
Mailing Address - Phone:516-308-3463
Mailing Address - Fax:925-888-8060
Practice Address - Street 1:2990 MERRICK RD
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5760
Practice Address - Country:US
Practice Address - Phone:516-308-3463
Practice Address - Fax:925-888-8060
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003066-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist