Provider Demographics
NPI:1316066814
Name:HAWARD, MARLYSE FRIEDA (MD)
Entity type:Individual
Prefix:DR
First Name:MARLYSE
Middle Name:FRIEDA
Last Name:HAWARD
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1825 EASTCHESTER RD
Mailing Address - Street 2:SUITE 725
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2301
Mailing Address - Country:US
Mailing Address - Phone:718-904-4105
Mailing Address - Fax:718-904-2659
Practice Address - Street 1:1825 EASTCHESTER RD
Practice Address - Street 2:SUITE 725
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2301
Practice Address - Country:US
Practice Address - Phone:718-904-4105
Practice Address - Fax:718-904-2659
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2010-01-06
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Provider Licenses
StateLicense IDTaxonomies
PAMD4345602080N0001X
NY231730-12080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine