Provider Demographics
NPI:1679558019
Name:LAMARQUE, MADELEINE DENISE (MD-OB/GYN)
Entity type:Individual
Prefix:MRS
First Name:MADELEINE
Middle Name:DENISE
Last Name:LAMARQUE
Suffix:
Gender:F
Credentials:MD-OB/GYN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E 18TH ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7356
Mailing Address - Country:US
Mailing Address - Phone:718-434-5373
Mailing Address - Fax:718-434-5282
Practice Address - Street 1:601 E 18TH ST
Practice Address - Street 2:SUITE 109
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7356
Practice Address - Country:US
Practice Address - Phone:718-434-5373
Practice Address - Fax:718-434-5282
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128974174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY128974OtherLICENSE
NY128974OtherLICENSE
15A411Medicare ID - Type Unspecified