Marin, Edgar L.

Marin, Edgar L. is an sole proprietor health care provider with primary practice located at 285 Middle Country Rd Suite Ll-5, Smithtown NY 11787-2980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Marin, Edgar L. can be contacted via phone (631) 265-6717.

Contact Information

Primary practice address
285 Middle Country Rd Suite Ll-5 Smithtown NY 11787-2980
Phone: (631) 265-6717
Fax: (631) 265-6714
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 131675 New York

Profile Details

NPI number 1295893295
LBN Legal business name Marin, Edgar L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Aug 15th, 2014 - about 11 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 1295893295 NPPES
New York MEDICAID 00907644

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