Individual
DR. MARVIN L CORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY HOSPITAL, L5 100 NICOLOS RD, STONY BROOK, NY 11794
(631) 444-2565
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
222021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02182052
—
NY
01
—
3550H1
EMPIRE BC.BS
NY
01
—
4277551
AETNA
NY
Enumeration date
07/24/2006
Last updated
07/08/2007
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