| Marc Rothman Md Pllc | |
|
28 Liberty St New York NY 10005-1400 | |
| (415) 205-1229 | |
| Not Available |
| Full Name | Marc Rothman Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 28 Liberty St, New York, New York |
| Authorized Official Name and Position | Marc Rothman (PRESIDENT) |
| Authorized Official Contact | 4152051229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Rothman Md Pllc 85 Delancey St New York NY 10002-3182 Ph: (415) 205-1229 | Marc Rothman Md Pllc 28 Liberty St New York NY 10005-1400 Ph: (415) 205-1229 |
| NPI Number | 1871355818 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 05/28/2025 |
| Medicare PECOS PAC ID | 8325488307 |
|---|---|
| Medicare Enrollment ID | O20240425000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871355818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marc Daniel Rothman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184672040 PECOS PAC ID: 9133148117 Enrollment ID: I20240425000546 |
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