Provider Demographics
NPI:1861750549
Name:GARSHICK, MARISA KARDOS (MD)
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:KARDOS
Last Name:GARSHICK
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 1:1385 YORK AVE
Mailing Address - Street 2:APARTMENT 16D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3904
Mailing Address - Country:US
Mailing Address - Phone:201-218-7616
Mailing Address - Fax:
Practice Address - Street 1:1385 YORK AVE
Practice Address - Street 2:APARTMENT 16D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3904
Practice Address - Country:US
Practice Address - Phone:201-218-7616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272998207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology