Marra, Christine
Marra, Christine is an individual health care provider with primary practice located at 358 Veterans Memorial Hwy Ste 9 , Commack NY 11725-4326. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Marra, Christine can be contacted via phone (631) 974-0522.Contact Information
Primary practice address
358 Veterans Memorial Hwy Ste 9
Commack NY 11725-4326
Phone: (631) 974-0522
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 014506-1 | New York |
Profile Details
NPI number | 1043238785 |
---|---|
LBN Legal business name | Marra, Christine |
Credentials | PH.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Jan 18th, 2019 - about 5 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 | 1043238785 | NPPES |
New York | MEDICAID | 02145191 |
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