Provider Demographics
NPI:1558375923
Name:MARCHL, ZSUZSANNA (MD)
Entity type:Individual
Prefix:
First Name:ZSUZSANNA
Middle Name:
Last Name:MARCHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CRITTENDEN BLVD
Mailing Address - Street 2:BOX PYCH
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-276-3700
Mailing Address - Fax:585-276-2407
Practice Address - Street 1:1425 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3001
Practice Address - Country:US
Practice Address - Phone:585-922-4882
Practice Address - Fax:585-922-5466
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226-305-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7900516OtherAETNA PROVIDER ID
NYP0102226305OtherEXCELLUS PROVIDER ID
NYMDH742OtherPREFERRED CARE PROVIDER I
NYI07570Medicare UPIN
NYRA2022Medicare ID - Type Unspecified