| Dr.marvin Ebert | |
|
7 Sands Ct Great Neck NY 11023-1922 | |
| (516) 829-9267 | |
| Not Available |
| Full Name | Dr.marvin Ebert |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 7 Sands Ct, Great Neck, New York |
| Authorized Official Name and Position | Marvin Louis Ebert (PHYSICIAN) |
| Authorized Official Contact | 5168299267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.marvin Ebert 7 Sands Ct Great Neck NY 11023-1922 Ph: (516) 829-9267 | Dr.marvin Ebert 7 Sands Ct Great Neck NY 11023-1922 Ph: (516) 829-9267 |
| NPI Number | 1679979140 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 11/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679979140 | NPI | - | NPPES |
| AEO701068 | Other | NY | BNDD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 100787 (New York) | Primary |
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