# MARVIN SHABUS DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649676990
- **Authorized official:** DR. MARVIN SHABUS DDS (DR.)
- **Authorized official phone:** (212) 473-7777

## Contact information

- **Practice address:** 41 5TH AVE, SUITE 1C, NEW YORK, NY 10003-4319
- **Practice address phone:** (212) 473-7777
- **Mailing address:** 41 5TH AVE, SUITE 1C, NEW YORK, NY 10003-4319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 037741 | NY | Yes |

## Other

- **Enumeration date:** 11/14/2014
- **Last updated:** 11/14/2014