Provider Demographics
NPI:1154604379
Name:MARCUS, CINDY E (SPEECH THERAPIST)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:E
Last Name:MARCUS
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 BURNS ST
Mailing Address - Street 2:APT E5
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5060
Mailing Address - Country:US
Mailing Address - Phone:718-520-1377
Mailing Address - Fax:
Practice Address - Street 1:6325 DRY HARBOR RD
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-1964
Practice Address - Country:US
Practice Address - Phone:718-639-9750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006902-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist