- Practice location
- 750 E Adams St, Syracuse, NY 13210-2306
- Phone
- 315-464-5240
- Fax
- 315-464-3751
- Last updated
- May 20, 2021
Eden Segall Marx is a Student in an Organized Health Care Education/Training Program based in Syracuse, NY. Eden Segall Marx practices in Syracuse, NY and has the professional credentials of MD. The NPI Number for Eden Segall Marx is 1053985382. The current practice location address for Eden Segall Marx is 750 E Adams St, Syracuse, NY 13210-2306 and can be reached out via phone at 315-464-5240 and via fax at 315-464-3751.
Provider Profile Details
- NPI Number
- 1053985382
- Provider Name
- Eden Segall Marx
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 750 E Adams St, Syracuse, NY 13210-2306
- Phone Number
- 315-464-5240
- Fax Number
- 315-464-3751
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 20, 2021
- Last Update Date
- May 20, 2021
- Certification Date
- May 20, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 750 E Adams St
Syracuse, NY 13210-2306 - City
- Syracuse
- State
- New York
- Zip
- 13210-2306
- Phone Number
- 315-464-5240
- Fax Number
- 315-464-3751
Provider Business Mailing Address Details
- Address
- 148 Greene St Apt 6E
New York, NY 10012-3291 - City
- New York
- State
- NY
- Zip
- 10012-3291
- Phone Number
- 917-593-4141
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Eden S Marx, MD?
The NPI number of Eden S Marx, MD is 1053985382. It was assigned on May 20, 2021 and is currently active in the NPPES registry.
What is the specialty of Eden S Marx, MD?
Eden S Marx, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Eden S Marx, MD practice?
The practice location is 750 E Adams St, Syracuse, NY 13210-2306. The office can be reached at 315-464-5240 (phone) or 315-464-3751 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053985382 directly on the NPPES registry website.