Organization
DR.MARVIN EBERT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN LOUIS EBERT D.O. (PHYSICIAN)
(516) 829-9267
Entity
Organization
Contact information
Practice address
7 SANDS CT, GREAT NECK, NY 11023-1922
(516) 829-9267
Mailing address
7 SANDS CT, GREAT NECK, NY 11023-1922
(516) 829-9267
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
100787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AEO701068
BNDD
NY
Enumeration date
11/11/2014
Last updated
11/11/2014
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