Dr. Marvin Eevan Jennings
Primary Podiatric Medicine
3307 Hunter Ave Apt 1
Bronx
, New York 10475-1543
Dr. Marvin Eevan Jennings
Primary Podiatric Medicine
3307 Hunter Ave Apt 1
Bronx
, New York 10475-1543
(718) 676-5262
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Marvin Eevan Jennings
- 3307 Hunter Ave Apt 1
- Bronx, NY
- Zip : 10475-1543
- Phone : (718) 676-5262
Second Address
- Dr. Marvin Eevan Jennings
- 3307 Hunter Ave Apt 1
- Bronx, NY
- Zip : 10475-1543
- Phone : (718) 676-5262
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | N004966-1 | NY |
National Provider Identifier
| NPI | 1336115518 |
|---|---|
| Provider Name | Dr. Marvin Eevan Jennings |
| First Address | Bronx, NY 10475-1543 |
| Second Address | Bronx, NY 10475-1543 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01281429 | (05) | NY |
| U29320 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.