Provider Demographics
NPI:1821244872
Name:BITTON, MARINA (DDS)
Entity Type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:
Last Name:BITTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6361 YELLOWSTONE BLVD
Mailing Address - Street 2:APARTMENT 5S
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1517
Mailing Address - Country:US
Mailing Address - Phone:917-710-4845
Mailing Address - Fax:
Practice Address - Street 1:6361 YELLOWSTONE BLVD
Practice Address - Street 2:APARTMENT 5S
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1517
Practice Address - Country:US
Practice Address - Phone:917-710-4845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50 054079122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist