Teodorowicz-Marino, Wanda
Teodorowicz-Marino, Wanda is an sole proprietor health care provider with primary practice located at 2242 Central Park Ave , Yonkers NY 10710-1457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Teodorowicz-Marino, Wanda can be contacted via phone (914) 793-7111.Contact Information
Primary practice address
2242 Central Park Ave
Yonkers NY 10710-1457
Phone: (914) 793-7111
Fax: (914) 793-1325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 143436 | New York |
Profile Details
| NPI number | 1255367678 |
|---|---|
| LBN Legal business name | Teodorowicz-Marino, Wanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1255367678 | NPPES |
| New York | Other | 143436 | MEDICAL LICENCE |
| New York | Other | P1218912 | MEDICAL LICENCE |
| New York | MEDICAID | 00851501 | MEDICAL LICENCE |
| New York | Other | 0888912 | MEDICAL LICENCE |
| New York | Other | 143436A-40 | MEDICAL LICENCE |
| New York | Other | 143436A-40 | MEDICAL LICENCE |
| New York | Other | 18002947 | MEDICAL LICENCE |
| New York | Other | 4412490 | MEDICAL LICENCE |
| New York | Other | 0091319 | MEDICAL LICENCE |
| New York | Other | 133295758 | MEDICAL LICENCE |
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