MARTHA GEORGE MARCELLUS


Address: 134 New York Ave, Freeport, NY 11520-1538
Phone: 6464163820

MARTHA GEORGE MARCELLUS (NPI# 1427509843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427509843
Entity Type Individual
Full Name MARTHA GEORGE MARCELLUS
Other Name MARTHA GEORGE JOSEPH
Practice Address 134 New York Ave
Freeport
NY 11520-1538
Practice Telephone 6464163820
Mailing Telephone 6464163820
Enumeration Date 2016-10-20
Last Update Date 2016-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WM0705X Registered Nurse
Specialization: Medical-Surgical
623837-1 NY Nursing Service Providers
Y 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
623837-1 NY Nursing Service Providers

Office Location

Street Address 134 NEW YORK AVE
City FREEPORT
State NY
Zip Code 11520-1538

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1861849135 Daniel Lora Acupuncturist 140 Parsons Ave, Freeport, NY 11520 2016-05-17
1326413790 Beatrice Jeanty Registered Nurse 619 South Long Beach Ave., Freeport, NY 11520 2015-12-10
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Taxonomy Information

Taxonomy Code 163WN0002X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Neonatal Intensive Care

Taxonomy Definition

Definition to come...

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1518587765 Gina Marie Cafaro Registered Nurse 1134 73rd St, Brooklyn, NY 11228-2013 2020-04-17
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1760959746 Darcie Lynn Ikeler Registered Nurse 4190 Oak Hill Rd, Silver Springs, NY 14550-9796 2018-10-29
1548776099 Suzanne Marie Lewis Registered Nurse 269 Milburn St, Rochester, NY 14607-3423 2017-12-20
1801301841 Caitlynn Gangarossa Registered Nurse 120 Westchester Ave, Rochester, NY 14609-4232 2017-12-13
1285149468 Danielle Marie Montante Registered Nurse 176 Meigs St, Rochester, NY 14607-2408 2017-12-09
1669911491 Karlie Renee Emrich Registered Nurse 25 Homestead Rd W, Clinton, NY 13323-1015 2017-02-13
1134583107 Regina Biondo Registered Nurse 183 Willowood Dr, Wantagh, NY 11793-1263 2016-04-06
1558734715 Tana Lynn Osada Registered Nurse 110 Green St, Fayetteville, NY 13066-2105 2015-11-09
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Competitor

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City FREEPORT
Zip Code 11520

Improve Information

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Dataset Information

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.

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