Berrones, Marco Antonio
Berrones, Marco Antonio is an sole proprietor health care provider with primary practice located at 888 Old Country Rd , Plainview NY 11803-4914. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Berrones, Marco Antonio can be contacted via phone (516) 719-3000.Contact Information
Primary practice address
888 Old Country Rd
Plainview NY 11803-4914
Phone: (516) 719-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 008261-1 | New York |
Profile Details
NPI number | 1215017397 |
---|---|
LBN Legal business name | Berrones, Marco Antonio |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 16th, 2006 |
Last updated | Jun 25th, 2009 - 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 | 1215017397 | NPPES |
New York | MEDICAID | 00246075 |
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