Provider Demographics
NPI:1386791705
Name:LAUFER, MARCEL (MD)
Entity type:Individual
Prefix:
First Name:MARCEL
Middle Name:
Last Name:LAUFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 W 59TH ST
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1104
Mailing Address - Country:US
Mailing Address - Phone:212-265-9866
Mailing Address - Fax:212-977-9111
Practice Address - Street 1:425 W 59TH ST
Practice Address - Street 2:SUITE 4A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1104
Practice Address - Country:US
Practice Address - Phone:212-265-9866
Practice Address - Fax:212-977-9111
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153609207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06E921OtherEMPIRE BC&BS
NY2620908OtherAETNA
NY2594418OtherGHI
NYNP338OtherOXFORD
NY4C0966OtherHEALTHNET
NY4225574OtherAETNA
NY4C0966OtherHEALTHNET
NY06E921Medicare ID - Type Unspecified
NYA60258Medicare UPIN