Neystat, Marina

Neystat, Marina is an individual health care provider with primary practice located at 10124 Queens Blvd Suite A, Forest Hills NY 11375-2703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Neystat, Marina can be contacted via phone (718) 261-8881.

Contact Information

Primary practice address
10124 Queens Blvd Suite A Forest Hills NY 11375-2703
Phone: (718) 261-8881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 200915-1 New York

Profile Details

NPI number 1124013990
LBN Legal business name Neystat, Marina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jun 22nd, 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 1124013990 NPPES
New York Other 200915 NYS LICENSE
New York MEDICAID 01724698 NYS LICENSE

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