Provider Demographics
NPI:1831420967
Name:OSTREICHER, MARC JASON (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:JASON
Last Name:OSTREICHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:123 MAPLE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2240
Mailing Address - Country:US
Mailing Address - Phone:516-374-6363
Mailing Address - Fax:516-374-6300
Practice Address - Street 1:123 MAPLE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2240
Practice Address - Country:US
Practice Address - Phone:516-374-6363
Practice Address - Fax:516-374-6300
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2011-08-01
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Provider Licenses
StateLicense IDTaxonomies
NY256063207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine