Marr, Bonnie Lee

Marr, Bonnie Lee is an individual health care provider with primary practice located at 736 Irving Ave Ste 9100 , Syracuse NY 13210-1687. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Marr, Bonnie Lee can be contacted via phone (315) 470-7379.

Contact Information

Primary practice address
736 Irving Ave Ste 9100 Syracuse NY 13210-1687
Phone: (315) 470-7379
Fax: (315) 470-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 184692 New York

Profile Details

NPI number 1003032962
LBN Legal business name Marr, Bonnie Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Dec 22nd, 2016 - about 9 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 1003032962 NPPES
New York MEDICAID 01626659

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