Marshall, Robert T.

Marshall, Robert T. is an individual health care provider with primary practice located at 100 Nicolls Rd Hsc, Level 4, Room 080, Stony Brook NY 11794-8350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Marshall, Robert T. can be contacted via phone (631) 444-2478.

Contact Information

Primary practice address
100 Nicolls Rd Hsc, Level 4, Room 080 Stony Brook NY 11794-8350
Phone: (631) 444-2478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 283170 New York
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 283170 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 261154 Massachusetts

Profile Details

NPI number 1740541663
LBN Legal business name Marshall, Robert T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2012
Last updated Jul 5th, 2016 - about 10 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 1740541663 NPPES
Massachusetts MEDICAID 110102404A

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