Tudor, Marin C
Tudor, Marin C is an sole proprietor health care provider with primary practice located at 3833 Woodside Ave , Woodside NY 11377-2448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tudor, Marin C can be contacted via phone (718) 639-3636.Contact Information
Primary practice address
3833 Woodside Ave
Woodside NY 11377-2448
Phone: (718) 639-3636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 114828 | New York |
Profile Details
| NPI number | 1316902869 |
|---|---|
| LBN Legal business name | Tudor, Marin C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Dec 5th, 2011 - about 13 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 | 1316902869 | NPPES |
| New York | MEDICAID | 00210435 |
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