Provider Demographics
NPI:1396896783
Name:GARFINKEL, MARC EDWARD (MD)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:EDWARD
Last Name:GARFINKEL
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 1:5889 FORBES AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1660
Mailing Address - Country:US
Mailing Address - Phone:412-521-0500
Mailing Address - Fax:412-521-0505
Practice Address - Street 1:5889 FORBES AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1660
Practice Address - Country:US
Practice Address - Phone:412-521-0500
Practice Address - Fax:412-521-0505
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014695E2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB34543Medicare UPIN