MARION R GOLDEN ND FNP WHNP PLLC NPI 1619206802

NPI Information

NPI: 1619206802
Provider Name: MARION R GOLDEN ND FNP WHNP PLLC

Doing Business As: NORTH COUNTRY FAMILY PRACTICE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5976 ROUTE 25A
WADING RIVER, NY
ZIP 11792
Phone: (631) 929-9700
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MARION R GOLDEN ND FNP WHNP PLLC is a primary care clinic center in Wading River, NY. MARION R GOLDEN ND FNP WHNP PLLC NPI is 1619206802. The provider is registered as an organization entity type.
The provider Is Doing Business As North Country Family Practice.

The provider's business location address is:

5976 ROUTE 25A
WADING RIVER, NY
ZIP 11792-001
Phone: (631) 929-9700
Fax: (631) 929-9702

The provider's authorized official is Marion R Golden .
The authorized official title is Owner/dnp and has the following contact phone number (631) 929-9700.

The enumeration date for this NPI number is 12/17/2009 and was last updated on 12/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	332738	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	112665191	OTHER		PHCS
2	9712429	OTHER		GHI
3	8051992-003	OTHER		CIGNA
4	145219	OTHER		VYTRA
5	91N081	MEDICARE PIN	NEW YORK
6	S83969	MEDICARE UPIN	NEW YORK
7	2268928	OTHER		UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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