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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407821309 NPPES
New York MEDICAID 02445150

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