Provider Demographics
NPI:1295731461
Name:OSTROFF, MARCI (MD)
Entity type:Individual
Prefix:DR
First Name:MARCI
Middle Name:
Last Name:OSTROFF
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 1:1 HOLLOW LN STE 315
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1215
Mailing Address - Country:US
Mailing Address - Phone:516-437-4300
Mailing Address - Fax:516-437-2033
Practice Address - Street 1:1 HOLLOW LN STE 315
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1215
Practice Address - Country:US
Practice Address - Phone:516-437-4300
Practice Address - Fax:516-437-2033
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175128207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF87329Medicare UPIN
NY517E91Medicare PIN