Basic Information
| Provider Information | |||||||||
| NPI: | 1003876020 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DENNIS MARCUS MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 LEWIS AVE | ||||||||
| Address2: | |||||||||
| City: | GT BARRINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135281845 | ||||||||
| FaxNumber: | 4135283667 | ||||||||
| Practice Location | |||||||||
| Address1: | 2880 ROUTE 9 | ||||||||
| Address2: | |||||||||
| City: | VALATIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12184 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5187586922 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MARCUS | ||||||||
| AuthorizedOfficialFirstName: | DENNIS | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 4135281845 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | X | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 103T00000X | X | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | 104100000X | X | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | 363LP0808X | X | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.