Marmor, Maury A
Marmor, Maury A is an sole proprietor health care provider with primary practice located at 60 N Country Rd Suite 301, Port Jefferson NY 11777-2188. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Marmor, Maury A can be contacted via phone (631) 474-4200.Contact Information
Primary practice address
60 N Country Rd Suite 301
Port Jefferson NY 11777-2188
Phone: (631) 474-4200
Fax: (631) 474-4202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 146453 | New York |
Profile Details
| NPI number | 1417064569 |
|---|---|
| LBN Legal business name | Marmor, Maury A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1417064569 | NPPES |
| New York | MEDICAID | 00890111 |
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