Greene, Marcia Rosemarie
Greene, Marcia Rosemarie is an sole proprietor health care provider with primary practice located at 736 Castleton Ave Fl 1 , Staten Island NY 10310-1803. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Greene, Marcia Rosemarie can be contacted via phone (718) 273-8686.Contact Information
Primary practice address
736 Castleton Ave Fl 1
Staten Island NY 10310-1803
Phone: (718) 273-8686
Fax: (718) 273-2851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 039401 | New York |
Profile Details
| NPI number | 1588652432 |
|---|---|
| LBN Legal business name | Greene, Marcia Rosemarie |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | May 14th, 2020 - about 4 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 | 1588652432 | NPPES |
| New York | MEDICAID | 01007712 |
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