Amitina, Marina
Amitina, Marina is an individual health care provider with primary practice located at 4332 Kissena Blvd Ste La , Flushing NY 11355-2934. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Amitina, Marina can be contacted via phone (718) 939-0609.Contact Information
Primary practice address
4332 Kissena Blvd Ste La
Flushing NY 11355-2934
Phone: (718) 939-0609
Fax: (718) 939-0609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 225539-1N | New York |
Profile Details
| NPI number | 1407821309 |
|---|---|
| LBN Legal business name | Amitina, Marina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Oct 20th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407821309 | NPPES |
| New York | MEDICAID | 02445150 |
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