Provider Demographics
NPI:1619035482
Name:LEGATO, MARIANNE J (MD, FACP, PC)
Entity type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:J
Last Name:LEGATO
Suffix:
Gender:F
Credentials:MD, FACP, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0313
Mailing Address - Country:US
Mailing Address - Phone:212-737-5663
Mailing Address - Fax:212-737-6306
Practice Address - Street 1:962 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0313
Practice Address - Country:US
Practice Address - Phone:212-737-5663
Practice Address - Fax:212-737-6306
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091412207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine