Marcus, Eliza M

Marcus, Eliza M is an sole proprietor health care provider with primary practice located at 2 Durham Pl , Lake Grove NY 11755-2814. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Marcus, Eliza M can be contacted via phone (631) 585-7131.

Contact Information

Primary practice address
2 Durham Pl Lake Grove NY 11755-2814
Phone: (631) 585-7131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002868 New York

Profile Details

NPI number 1396882478
LBN Legal business name Marcus, Eliza M
Credentials M.ED, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396882478 NPPES
New York Other 002868 LICENSE

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