Provider Demographics
NPI:1134209158
Name:GAINOR, MARC B (DMD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:B
Last Name:GAINOR
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:1 ROCKEFELLER PLZ
Mailing Address - Street 2:2219
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10020-2003
Mailing Address - Country:US
Mailing Address - Phone:212-246-1333
Mailing Address - Fax:212-247-6308
Practice Address - Street 1:1 ROCKEFELLER PLZ
Practice Address - Street 2:2219
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10020-2003
Practice Address - Country:US
Practice Address - Phone:212-246-1333
Practice Address - Fax:212-247-6308
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY362761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice