Eliza Marcus's National Provider Identifier (NPI) Details
Eliza Marcus, M.Ed, LMHC
NPI: 1396882478
Enumeration Date: 2007-01-30
Last updated: 2007-07-08
Sole Proprietor: YES
Status: active
Postal Address: 2 DURHAM PL, LAKE GROVE, NY
Phone: 631-585-7131
Primary Practice Address: 2 DURHAM PL, LAKE GROVE, NY
Practice's phone: 631-585-7131