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
Fax: (914) 664-2530
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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