Provider Demographics
NPI:1730265521
Name:MARZAL, ANA LUZ GLEMAO (MD)
Entity type:Individual
Prefix:DR
First Name:ANA LUZ
Middle Name:GLEMAO
Last Name:MARZAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 CLARKSON AVE
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2125
Mailing Address - Country:US
Mailing Address - Phone:718-221-7102
Mailing Address - Fax:718-221-7962
Practice Address - Street 1:681 CLARKSON AVE
Practice Address - Street 2:BUILDING 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2125
Practice Address - Country:US
Practice Address - Phone:718-221-7102
Practice Address - Fax:718-221-7962
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2578502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry