| Lisa Marx, Do, Pllc | |
|
859 Montauk Hwy Suite 3 Bayport NY 11705-1634 | |
| (631) 868-7200 | |
| (631) 868-7199 |
| Full Name | Lisa Marx, Do, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 859 Montauk Hwy, Bayport, New York |
| Authorized Official Name and Position | Lisa Joy Marx (PRESIDENT) |
| Authorized Official Contact | 6318687200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marx, Do, Pllc 859 Montauk Hwy Suite 3 Bayport NY 11705-1634 Ph: (631) 868-7200 | Lisa Marx, Do, Pllc 859 Montauk Hwy Suite 3 Bayport NY 11705-1634 Ph: (631) 868-7200 |
| NPI Number | 1700202629 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700202629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 195270 (New York) | Primary |
One On One Medical Care, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Suydam Ln, Bayport, NY 11705 Phone: 631-398-9374 Fax: 631-472-3661 |