Provider Demographics
NPI:1124259262
Name:MARCUS, GALIT SHARON (RN, FNP, MPH)
Entity type:Individual
Prefix:
First Name:GALIT SHARON
Middle Name:
Last Name:MARCUS
Suffix:
Gender:F
Credentials:RN, FNP, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E 70TH ST
Mailing Address - Street 2:STARR-341
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9800
Mailing Address - Country:US
Mailing Address - Phone:646-962-2064
Mailing Address - Fax:646-962-1605
Practice Address - Street 1:520 E 70TH ST
Practice Address - Street 2:STARR-341
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-9800
Practice Address - Country:US
Practice Address - Phone:646-962-2064
Practice Address - Fax:646-962-1605
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335820-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily