Gore, Marina

Gore, Marina is an sole proprietor health care provider with primary practice located at 327 Beach 19Th St St. John'S Episcopal Hospital, Far Rockaway NY 11691-4423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gore, Marina can be contacted via phone (718) 869-7382.

Contact Information

Primary practice address
327 Beach 19Th St St. John'S Episcopal Hospital Far Rockaway NY 11691-4423
Phone: (718) 869-7382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000872 New York

Profile Details

NPI number 1043309594
LBN Legal business name Gore, Marina
Credentials NURSE MIDWIFE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 21st, 2022 - 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 1043309594 NPPES
New York MEDICAID 02096248

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