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Individual
W MARVIN DAY
Active
Individual
W MARVIN DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005618-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00466854
RR MEDICARE
NY
Enumeration date
03/09/2006
Last updated
02/10/2022
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