Manunts, Marina R
Manunts, Marina R is an sole proprietor health care provider with primary practice located at 2329 N Triphammer Rd , Ithaca NY 14850-1011. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Manunts, Marina R can be contacted via phone (607) 257-0060.Contact Information
Primary practice address
2329 N Triphammer Rd
Ithaca NY 14850-1011
Phone: (607) 257-0060
Fax: (607) 257-0042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 050046 | New York |
Profile Details
| NPI number | 1417047465 |
|---|---|
| LBN Legal business name | Manunts, Marina R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1417047465 | NPPES |
| New York | MEDICAID | 02299296 |
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