Provider Demographics
NPI:1184799165
Name:GAREL, MARCIA DEBRA (DPM)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:DEBRA
Last Name:GAREL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-1702
Mailing Address - Country:US
Mailing Address - Phone:516-593-0500
Mailing Address - Fax:516-593-3956
Practice Address - Street 1:138 MAIN STREET
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518
Practice Address - Country:US
Practice Address - Phone:516-593-0500
Practice Address - Fax:516-593-3956
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3904213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T51276Medicare UPIN
PA9411Medicare ID - Type Unspecified