Isdith, Marjorie J.

Isdith, Marjorie J. is an sole proprietor health care provider with primary practice located at 20 Hicksville Road , Massapequa NY 11758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Isdith, Marjorie J. can be contacted via phone (516) 795-5700.

Contact Information

Primary practice address
20 Hicksville Road Massapequa NY 11758
Phone: (516) 795-5700
Fax: (516) 795-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 197492 New York

Profile Details

NPI number 1205831435
LBN Legal business name Isdith, Marjorie J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Apr 24th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205831435 NPPES
New York Other 650491 BLUE CROSS
New York Other 617701 BLUE CROSS
New York Other DA48287 BLUE CROSS
New York Other P403153 BLUE CROSS
New York Other 1392024 BLUE CROSS
New York Other 65911 BLUE CROSS
New York Other 6012892 BLUE CROSS

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