Basic Information
Provider Information
NPI: 1700847753
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POSNER
FirstName: MARSHALL
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 GUSTAVE L.LEVY PLACE
Address2: BOX 3000
City: NEW YORK
State: NY
PostalCode: 10029
CountryCode: US
TelephoneNumber: 2129873100
FaxNumber: 2127315210
Practice Location
Address1: 10 E 102ND ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100296030
CountryCode: US
TelephoneNumber: 2122416756
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/29/2006
LastUpdateDate: 02/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202X258260NYY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

ID Information
IDTypeStateIssuerDescription
206093001 AETNA US HEALTHCAREOTHER
304012501 UNITED HEALTH CAREOTHER
B73502DF01 HPHC DFCI ONLYOTHER
307255005MA MEDICAID
2416901 FALLON COMMUNITY HEALTH POTHER
P0019524001 RR MEDICARE BINNEY MEDOTHER
11015212201 RR MEDICARE DFCIOTHER
439530201 CIGNAOTHER
04268001 TUFTSOTHER


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