Janis, Marc Charles
Janis, Marc Charles is an individual health care provider with primary practice located at 105 Stevens Ave Suite 109, Mount Vernon NY 10550-2682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Janis, Marc Charles can be contacted via phone (914) 664-7311.Contact Information
Primary practice address
105 Stevens Ave Suite 109
Mount Vernon NY 10550-2682
Phone: (914) 664-7311
Fax: (914) 664-2530
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 171207 | New York |
Profile Details
NPI number | 1669587879 |
---|---|
LBN Legal business name | Janis, Marc Charles |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2006 |
Last updated | May 15th, 2023 - about last year |
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 | 1669587879 | NPPES |
Other | 1000017523 | AFFINITY | |
Other | WS889 | AFFINITY | |
Other | 4573899 | AFFINITY | |
MEDICAID | 01475350 | AFFINITY | |
Other | 2900116 | AFFINITY | |
Other | 6010835 | AFFINITY | |
Other | 79403 | AFFINITY | |
Other | 29430P | AFFINITY | |
Other | 133870823 | AFFINITY | |
Other | 552931 | AFFINITY | |
Other | 0D0068 | AFFINITY | |
Other | 1147638 | AFFINITY |
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