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Contact Information

MARVIN J BASE, MD
9308 QUEENS BLVD # 1B1C
REGO PARK, NY11374-1135
 Phone: 718-806-1434
 Fax: 718-806-1435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARVIN J BASE · (Male)

NPI Number 1366401853
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2006
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 187770
  • NY Medicaid 01888251
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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