Provider Demographics
NPI:1427129097
Name:MARCEL, MARIE MADELEINE (PHD MD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:MADELEINE
Last Name:MARCEL
Suffix:
Gender:F
Credentials:PHD MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POSTAL BOX 310027
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11431
Mailing Address - Country:US
Mailing Address - Phone:347-776-7949
Mailing Address - Fax:
Practice Address - Street 1:88-15 168 ST
Practice Address - Street 2:APT SUITE 60M
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11431-0027
Practice Address - Country:US
Practice Address - Phone:347-776-7949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146D00000X
NY6117329246ZG1000X
NY53065353R1291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZG1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGeneticist, Medical (PhD)
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No291U00000XLaboratoriesClinical Medical Laboratory