Marshak, Jennifer Dale
Marshak, Jennifer Dale is an individual health care provider with primary practice located at 118 N Country Rd , Port Jefferson NY 11777-2120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Marshak, Jennifer Dale can be contacted via phone (631) 473-7171.Contact Information
Primary practice address
118 N Country Rd
Port Jefferson NY 11777-2120
Phone: (631) 473-7171
Fax: (631) 473-4605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 211465 | New York |
Profile Details
| NPI number | 1750365912 |
|---|---|
| LBN Legal business name | Marshak, Jennifer Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Apr 24th, 2008 - 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.
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