Individual
DR. CHARLES M MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
978 ROUTE 45, NORTHSIDE PLAZA, SUITE 207, POMONA, NY 10970-3521
(845) 354-4600
(845) 354-4653
Mailing address
978 ROUTE 45, NORTHSIDE PLAZA, SUITE 207, POMONA, NY 10970-3521
(845) 354-4600
(845) 354-4653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048411-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02042 244
—
NY
Enumeration date
08/30/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us