Individual
DR. MAURY A MARMOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 N COUNTRY RD, SUITE 301, PORT JEFFERSON, NY 11777-2188
(631) 474-4200
(631) 474-4202
Mailing address
60 N COUNTRY RD, SUITE 301, PORT JEFFERSON, NY 11777-2188
(631) 474-4200
(631) 474-4202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
146453
NY
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
146453
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00890111
—
NY
Enumeration date
08/24/2006
Last updated
08/19/2025
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