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Contact Information

MAURY A MARMOR, MD
60 N COUNTRY RD
SUITE 301
PORT JEFFERSON, NY11777-2188
 Phone: 631-474-4200
 Fax: 631-474-4202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MAURY A MARMOR · (Male)

NPI Number 1417064569
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2006
Last updated 08/19/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 146453
  • NY Medicaid 00890111
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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