Marion, Gina Marie

Marion, Gina Marie is an individual health care provider with primary practice located at 577 Larkfield Rd , East Northport NY 11731-4203. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Marion, Gina Marie can be contacted via phone (631) 368-3739.

Contact Information

Primary practice address
577 Larkfield Rd East Northport NY 11731-4203
Phone: (631) 368-3739
Fax: (631) 368-0559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 049532 New York

Profile Details

NPI number 1083896187
LBN Legal business name Marion, Gina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Nov 29th, 2007 - about 19 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 1083896187 NPPES
New York MEDICAID 00442219

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