Marville, Jillian

Marville, Jillian is an individual health care provider with primary practice located at 57-69 West Burnside Avenue , Bronx NY 10453-4038. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Marville, Jillian can be contacted via phone (718) 716-4400.

Contact Information

Primary practice address
57-69 West Burnside Avenue Bronx NY 10453-4038
Phone: (718) 716-4400
Fax: (718) 228-7471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004039-1 New York

Profile Details

NPI number 1144297417
LBN Legal business name Marville, Jillian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2006
Last updated Feb 9th, 2016 - about 8 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 1144297417 NPPES
New York MEDICAID 0935828

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