Provider Demographics
NPI:1922144567
Name:SATRE, MARIANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:
Last Name:SATRE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 E ZORANNE DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-2826
Mailing Address - Country:US
Mailing Address - Phone:516-810-7430
Mailing Address - Fax:
Practice Address - Street 1:935 N BROADWAY
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-2308
Practice Address - Country:US
Practice Address - Phone:516-798-2332
Practice Address - Fax:516-798-7083
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009999-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX04Z31Medicare ID - Type Unspecified