Provider Demographics
NPI:1386883213
Name:MARC S BEHAR MD PC
Entity type:Organization
Organization Name:MARC S BEHAR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-294-1800
Mailing Address - Street 1:520 FRANKLIN AVE
Mailing Address - Street 2:SUITE 153
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5806
Mailing Address - Country:US
Mailing Address - Phone:516-294-1800
Mailing Address - Fax:516-746-7044
Practice Address - Street 1:520 FRANKLIN AVE
Practice Address - Street 2:SUITE 153
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5806
Practice Address - Country:US
Practice Address - Phone:516-294-1800
Practice Address - Fax:516-746-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172399207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01548163Medicaid
NY01548163Medicaid
NYA100000914Medicare PIN