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Contact Information

MARCIA TONNESEN, MD
181 N BELLE MEAD RD
EAST SETAUKET, NY11733-3495
 Phone: 631-444-4200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MARCIA TONNESEN · (Female)

NPI # 1205883238
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 181378
  • NY Medicaid 01198109
  • NY Other 5030064 AETNA
  • NY Other 61F93 EMPIRE BC/BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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