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Contact Information

MARJORIE MOMBELEUR, MD
378 SYOSSET WOODBURY RD
WOODBURY, NY11797-1200
 Phone: 516-921-3900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for MARJORIE MOMBELEUR · (Female)

NPI Number 1831154889
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2006
Last updated 08/20/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 197785
  • NY License # 1977851
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
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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