Provider Demographics
NPI:1336227339
Name:MARCUS, MARGARET L (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:L
Last Name:MARCUS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:275 WEST 96TH STREET
Mailing Address - Street 2:APT 31B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-663-6531
Mailing Address - Fax:212-663-6531
Practice Address - Street 1:127 WEST 79TH STREET
Practice Address - Street 2:SUITE 5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:212-663-6531
Practice Address - Fax:212-663-6531
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0062301103TC0700X
NJ35S100206900103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical