Ardeljan, Marinel
Ardeljan, Marinel is an individual health care provider with primary practice located at 10 Brentwood Rd , Bay Shore NY 11706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ardeljan, Marinel can be contacted via phone (631) 665-8200.Contact Information
Primary practice address
10 Brentwood Rd
Bay Shore NY 11706
Phone: (631) 665-8200
Fax: (631) 665-8914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 252253 | New York |
Profile Details
| NPI number | 1710121108 |
|---|---|
| LBN Legal business name | Ardeljan, Marinel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2009 |
| Last updated | Oct 13th, 2010 - about 16 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 | 1710121108 | NPPES |
| New York | MEDICAID | 03121859 |
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