Doctor Name: | DR. MARION R GOLDEN |
NPI Number: | 1013995950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.N.P. |
License Number: | F420378 |
Business Practice Address: | 5976 Route 25a Wading River, NY - 117922001 |
Business Phone Number: | 6319299700 |
Business Fax Number: | 6319299702 |
Mailing Address: | 5976 Route 25a, WADING RIVER |
State: | NY |
Postal Code: | 117922001 |
Phone Number: | 6319299700 |
Fax Number: | 6319299702 |
NPI Enumeration Date: | 12/31/2005 |
NPI Last Update Date: | 12/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | F420378 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |