National Provider Identifier
Marc Immerman, M.D.
Marc Immerman, M.D. is listed in the NPPES registry with a primary specialty of General Practice Physician in Elmira, NY and a listed phone number of (607) 732-5646.
Profile Overview
- NPI
- 1417967712
- Provider Type
- Individual
- Primary Specialty
- General Practice Physician
- Enumeration Date
- August 09, 2006
- Last Updated
- February 06, 2018
Practice Location
- 1003 Walnut St
- Elmira, NY 14901-1007
Phone: (607) 732-5646
Specialties
- General Practice Physician (208D00000X)
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1417967712
- Entity Type
- Individual
- Last Name
- Immerman
- First Name
- Marc
- Credential
- M.D.
- Mailing Street Address
- 1003 Walnut St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-1007
- Mailing Country
- US
- Mailing Phone
- (607) 732-5646
- Mailing Fax
- (607) 732-0373
- Practice Street Address
- 1003 Walnut St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-1007
- Practice Country
- US
- Practice Phone
- (607) 732-5646
- Practice Fax
- (607) 732-0373
- Enumeration Date
- August 09, 2006
- Last Updated
- February 06, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Physician (208D00000X), Emergency Medicine Physician (207P00000X)
- Other Identifiers
- 000915192004 (NY, BCBS), 01144467 (NY)