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Contact Information

MARINEL ARDELJAN, DO
10 BRENTWOOD RD
BAY SHORE, NY11706
 Phone: 631-665-8200
 Fax: 631-665-8914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARINEL ARDELJAN · (Male)

NPI # 1710121108
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/29/2009
Last updated 11/07/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 252253
  • NY Medicaid 03121859
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
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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