| Lewis W. Marshall Jr. Md Pc | |
|
8931 161st St Jamaica NY 11432-6102 | |
| (718) 291-6161 | |
| (718) 526-6169 |
| Full Name | Lewis W. Marshall Jr. Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8931 161st St, Jamaica, New York |
| Authorized Official Name and Position | Lewis W Marshall (PRESIDENT) |
| Authorized Official Contact | 7182916161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis W. Marshall Jr. Md Pc 8931 161st St Jamaica NY 11432-6102 Ph: (718) 291-6161 | Lewis W. Marshall Jr. Md Pc 8931 161st St Jamaica NY 11432-6102 Ph: (718) 291-6161 |
| NPI Number | 1467744318 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 05/11/2011 |
| Medicare PECOS PAC ID | 8426234279 |
|---|---|
| Medicare Enrollment ID | O20110512000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467744318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 162486 (New York) | Primary |
| Provider Name | Lewis W Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841297223 PECOS PAC ID: 0042289050 Enrollment ID: I20040927001096 |
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