Provider Demographics
NPI:1982462578
Name:OCHS, MARC BRIAN (LMT)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:BRIAN
Last Name:OCHS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 GRAND ST APT 3106
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-1993
Mailing Address - Country:US
Mailing Address - Phone:917-513-7852
Mailing Address - Fax:
Practice Address - Street 1:39 GRAND ST APT 3106
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-1993
Practice Address - Country:US
Practice Address - Phone:917-513-7852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033545225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist