Organization
MARION R GOLDEN ND FNP WHNP PLLC
Active
Other names
North Country Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARION R GOLDEN DNP (OWNER/DNP)
(631) 929-9700
Entity
Organization
Contact information
Practice address
5976 ROUTE 25A, WADING RIVER, NY 11792-2001
(631) 929-9700
(631) 929-9702
Mailing address
5976 ROUTE 25A, WADING RIVER, NY 11792-2001
(631) 929-9700
(631) 929-9702
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
332738
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112665191
PHCS
—
01
—
145219
VYTRA
—
01
—
2268928
UNITED HEALTHCARE
—
01
—
8051992-003
CIGNA
—
01
—
9712429
GHI
—
Enumeration date
12/17/2009
Last updated
12/17/2009
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