Civitano, Marc Thomas

Civitano, Marc Thomas is an sole proprietor health care provider with primary practice located at 600 Mamaroneck Ave Suite 101, Harrison NY 10528-1635. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Civitano, Marc Thomas can be contacted via phone (914) 686-0111.

Contact Information

Primary practice address
600 Mamaroneck Ave Suite 101 Harrison NY 10528-1635
Fax: (914) 686-8964
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 011059 New York

Profile Details

NPI number 1578615621
LBN Legal business name Civitano, Marc Thomas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 30th, 2013 - about 12 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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