Marienberg, Evelyn S.

Marienberg, Evelyn S. is an individual health care provider with primary practice located at 450 Clarkson Ave Rm All1369, Brooklyn NY 11203-2056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Marienberg, Evelyn S. can be contacted via phone (718) 270-1593.

Contact Information

Primary practice address
450 Clarkson Ave Rm All1369 Brooklyn NY 11203-2056
Phone: (718) 270-1593
Fax: (718) 270-1535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 179321-1 New York

Profile Details

NPI number 1417934555
LBN Legal business name Marienberg, Evelyn S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Nov 20th, 2012 - about 14 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 1417934555 NPPES
New York MEDICAID 01458731

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