Berrones, Marco Antonio

Berrones, Marco Antonio is an sole proprietor health care provider with primary practice located at 888 Old Country Rd , Plainview NY 11803-4914. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Berrones, Marco Antonio can be contacted via phone (516) 719-3000.

Contact Information

Primary practice address
888 Old Country Rd Plainview NY 11803-4914
Phone: (516) 719-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 008261-1 New York

Profile Details

NPI number 1215017397
LBN Legal business name Berrones, Marco Antonio
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jun 25th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215017397 NPPES
New York MEDICAID 00246075

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