Neystat, Marina
Neystat, Marina is an individual health care provider with primary practice located at 10124 Queens Blvd Suite A, Forest Hills NY 11375-2703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Neystat, Marina can be contacted via phone (718) 261-8881.Contact Information
Primary practice address
10124 Queens Blvd Suite A
Forest Hills NY 11375-2703
Phone: (718) 261-8881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 200915-1 | New York |
Profile Details
| NPI number | 1124013990 |
|---|---|
| LBN Legal business name | Neystat, Marina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jun 22nd, 2012 - about 12 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 | 1124013990 | NPPES |
| New York | Other | 200915 | NYS LICENSE |
| New York | MEDICAID | 01724698 | NYS LICENSE |
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