Provider Demographics
NPI:1134600349
Name:PRESCOD, MARSHA M (NP)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:M
Last Name:PRESCOD
Suffix:
Gender:
Credentials:NP
Other - Prefix:MRS
Other - First Name:MARSHA
Other - Middle Name:M
Other - Last Name:PRESCOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:280 LONGSTREET AVE APT 2H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3735
Mailing Address - Country:US
Mailing Address - Phone:646-667-9954
Mailing Address - Fax:
Practice Address - Street 1:1250 WATERS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:718-920-4646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-25
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF342955363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily