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Contact Information

MARVIN N HEYBOER III, MD
750 E ADAMS ST
SYRACUSE, NY13210-2342
 Phone: 315-464-4863
 Fax: 315-464-8690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARVIN N HEYBOER III · (Male)

NPI Number 1720195407
Status Active
Credentials MD
Entity Individual
Enumeration date 08/25/2006
Last updated 05/11/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A82212
  • NY License # 255162
  • NY Medicaid 02920730
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER - (Acute Care)
    750 EAST ADAMS STREET
    SYRACUSE, NY 13210
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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