Provider Demographics
NPI:1992716054
Name:LAMARCA, ANTHONY J (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:LAMARCA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:101 SAINT ANDREWS LN
Mailing Address - Street 2:GLEN COVE HOSPITAL: DEPT OF RADIOLOGY
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2254
Mailing Address - Country:US
Mailing Address - Phone:516-674-7540
Mailing Address - Fax:516-674-7546
Practice Address - Street 1:101 SAINT ANDREWS LN
Practice Address - Street 2:GLEN COVE HOSPITAL: DEPT OF RADIOLOGY
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2254
Practice Address - Country:US
Practice Address - Phone:516-674-7540
Practice Address - Fax:516-674-7546
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2009-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY24338532085R0202X, 2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL49270OtherBLUE CROSS
FL258216300Medicaid
FL258216300Medicaid
FLE2656ZMedicare ID - Type Unspecified
NY999861Medicare UPIN