NPI 1417967712

Marc Immerman, MD

Practitioner General Practice Physician Elmira, NY

Practice location

Address: 1003 Walnut St, Elmira, NY 14901-1007
Phone: (607) 732-5646
Fax: (607) 732-0373

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 174214 (NY)

Other General Practice providers in New York →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 174214 (NY)

Other Emergency Medicine providers in New York →

Registry record

NPI: 1417967712
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2006
Record last updated: 6 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.