DR. MARVIN A. PRICE (NPI# 1255494274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255494274 |
| Entity Type | Individual |
| Full Name | DR. MARVIN A. PRICE |
| Credential | D.D.S. |
| Practice Address |
4760 Sunrise Hwy Suite 1 Massapequa Park NY 11762-2909 |
| Practice Telephone | 5165412280 |
| Practice Fax Number | 5167956541 |
| Mailing Telephone | 5165412280 |
| Mailing Fax Number | 5167956541 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
035192 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508318353 | Marvin Price | Counselor | 1040 Langham Ave, Camden, NJ 08103-2735 | 2016-10-27 |
| Street Address |
4760 SUNRISE HWY SUITE 1 |
| City | MASSAPEQUA PARK |
| State | NY |
| Zip Code | 11762-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982089454 | Caroline Rubino | Dentist | 4760 Sunrise Hwy, Massapequa Park, NY 11762-2932 | 2015-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992280374 | Rachel Eljashev | Ophthalmology | 115 Charles Ave, Massapequa Park, NY 11762 | 2018-10-01 |
| 1366937567 | Samantha Marie Larosa | Social Worker | 652 Willoughby Avenue, Bushwick, NY 11762 | 2018-06-29 |
| 1023532447 | Hugo H Lopez | Counselor | 4770 Sunrise Highway, Massapequa Park, NY 11762 | 2017-07-27 |
| 1891155735 | Kayla Marie Vanguilder | Counselor | 208 Grover Ave W, Massapequa Park, NY 11762 | 2016-03-04 |
| 1093191009 | Mary Margaret Zeller | Case Management | 7 Townhouse Dr, Massapequa Park, NY 11762 | 2015-08-03 |
| 1114323250 | Kristen Price | Occupational Therapist | 21 Herbert Ave, Massapequa Park, NY 11762 | 2014-11-18 |
| 1871902296 | Suzanna Lynn Diaquoi | Registered Nurse | 24 Brendan Avenue, Massapequa Park, NY 11762 | 2014-08-11 |
| 1649605338 | Stacey Leo | Behavioral Analyst | 190 S Park Dr, Massapequa Park, NY 11762 | 2013-09-12 |
| 1255685459 | Jennifer M Salorio | Speech-Language Pathologist | 29 Westwood Rd S, Massapequa Park, NY 11762 | 2012-11-09 |
| 1962759803 | Erica Lori Brown | Specialist | 145 Eastgate Road, Massapequa Park, NY 11762 | 2012-08-09 |
| Find all providers in zip 11762 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982089454 | Caroline Rubino | Dentist | 4760 Sunrise Hwy, Massapequa Park, NY 11762-2932 | 2015-07-27 |
| 1952522641 | Joseph Michael Cristoforo | Dentist | 1035 Park Boulevard, Suite 1e, Massapequa Park, NY 11762 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
| 1851901896 | Kristen Brocavich | Dentist | 150 Islip Ave Ste 11, Islip, NY 11751-3222 | 2020-08-04 |
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1346710241 | Bedford Hills Dental P.C. | Dentist | 3 Depot Plz, Bedford Hills, NY 10507-1807 | 2018-12-04 |
| 1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1639655764 | Kiss Dental Care Pllc | Dentist | 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 | 2018-07-11 |
| 1689189524 | Mid Island Dental Specialists, PC | Dentist | 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 | 2017-12-13 |
| 1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
| 1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA PARK |
| Zip Code | 11762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.