Provider Demographics
NPI:1982719894
Name:ZARLENGO, MARCO D (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCO
Middle Name:D
Last Name:ZARLENGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-2538
Mailing Address - Country:US
Mailing Address - Phone:914-271-3583
Mailing Address - Fax:914-271-4511
Practice Address - Street 1:115 MAPLE ST
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-2538
Practice Address - Country:US
Practice Address - Phone:914-271-3583
Practice Address - Fax:914-271-4511
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106477-1207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00523937Medicaid
NYA60266Medicare UPIN