Provider Demographics
NPI:1992071518
Name:GONCALVES, MARCUS DASILVA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:DASILVA
Last Name:GONCALVES
Suffix:
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:211 E 80TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0531
Mailing Address - Country:US
Mailing Address - Phone:646-962-8690
Mailing Address - Fax:888-960-5919
Practice Address - Street 1:211 E 80TH ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0531
Practice Address - Country:US
Practice Address - Phone:646-962-8690
Practice Address - Fax:888-960-5919
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NY274407207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program