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Contact Information

MARIUS L PESSAH, MD
1575 HILLSIDE AVE
SUITE 102
NEW HYDE PARK, NY11040-2501
 Phone: 516-437-1616
 Fax: 516-354-6048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARIUS L PESSAH · (Male)

NPI Number 1508892274
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2006
Last updated 06/06/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 114082
  • NY Other 112458161 1199 NATIONAL BENEFIT FUN
  • NY Other 5504617001 CIGNA
  • NY Other 11A39 EMPIRE BLUE SHIELD
  • NY Other 2C8020 HEALTHNET
  • NY Other 46599 MDNY
  • NY Other AS807 OXFORD
  • NY Other 1532050 UNITED HEALTHCARE
  • NY Other 41791 VYTRA
Hospital affiliation(s)
  • 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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