Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | F332738 | NY |
N | 363LW0102X | Nurse Practitioner - Women's Health | F420378 | NY |
NPI | 1013995950 |
---|---|
Provider Name | Dr. Marion R Golden |
First Address | Wading River, NY 11792-2001 |
Second Address | Wading River, NY 11792-2001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2005 |
Last Update Date | 13/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
112665191 | PHCS (01) | NY |
145219 | VYTRA (01) | NY |
2268928 | UNITED HEALTHCARE (01) | NY |
8051992-003 | CIGNA (01) | NY |
9712429 | GHI (01) | NY |
S83969 | (02) | NY |