Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Marc Miresco, MD

Individual provider Psychiatry Physician · NPI 1790464964

Mr. Marc Miresco, MD is a Psychiatry Physician in New York, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1460 Broadway
New York, NY 10036-7329
Phone: (866) 256-2134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 317615 (NY)

Record details

NPI number1790464964
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2023
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

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