Provider Demographics
NPI:1427424787
Name:MARCUS, ASHLEY ELISE (AUD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ELISE
Last Name:MARCUS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 E 14TH ST
Mailing Address - Street 2:STE 303
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1171
Mailing Address - Country:US
Mailing Address - Phone:718-627-2060
Mailing Address - Fax:718-627-1951
Practice Address - Street 1:1660 E 14TH ST
Practice Address - Street 2:SUITE 303
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1170
Practice Address - Country:US
Practice Address - Phone:718-627-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002607-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist