| Organization Name: | MARION R GOLDEN ND FNP WHNP PLLC |
| NPI Number: | 1619206802 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARION R GOLDEN (OWNER/DNP) |
| Mailing Address: | 5976 Route 25a Wading River |
| State: | NY US |
| Postal Code: | 117922001 |
| Phone Number: | 6319299700 |
| Fax Number: | 6319299702 |
| NPI Enumeration Date: | 12/17/2009 |
| NPI Last Update Date: | 12/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 332738 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |