Provider Demographics
NPI:1629173497
Name:OPPENHEIMER/MARCHITELLI, MDS
Entity Type:Organization
Organization Name:OPPENHEIMER/MARCHITELLI, MDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-781-9898
Mailing Address - Street 1:2073 NEWBRIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710
Mailing Address - Country:US
Mailing Address - Phone:516-781-9898
Mailing Address - Fax:516-781-9702
Practice Address - Street 1:2073 NEWBRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710
Practice Address - Country:US
Practice Address - Phone:516-781-9898
Practice Address - Fax:516-781-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB15753Medicare UPIN
NYE20385Medicare UPIN