Clark, Marvin

Clark, Marvin is an sole proprietor health care provider with primary practice located at 1034 E 233Rd St Ste 2 , Bronx NY 10466-3317. He recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as his primary health care specialty. Clark, Marvin can be contacted via phone (347) 913-4373.

Contact Information

Primary practice address
1034 E 233Rd St Ste 2 Bronx NY 10466-3317
Fax: (914) 462-4513
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1891197141
LBN Legal business name Clark, Marvin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2014
Last updated Sep 18th, 2014 - about 11 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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