Provider Demographics
NPI:1255526760
Name:MARRONE, JAMES MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:MARRONE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 BRONX RIVER RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3442
Mailing Address - Country:US
Mailing Address - Phone:914-237-3544
Mailing Address - Fax:914-237-3544
Practice Address - Street 1:333 BRONX RIVER RD
Practice Address - Street 2:SUITE 121
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3442
Practice Address - Country:US
Practice Address - Phone:914-237-3544
Practice Address - Fax:914-237-3544
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044205-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice