Provider Demographics
NPI:1881255370
Name:MARC J YUNIS MD PC
Entity type:Organization
Organization Name:MARC J YUNIS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:YUNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-695-2248
Mailing Address - Street 1:30 DEERPATH
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1602
Mailing Address - Country:US
Mailing Address - Phone:516-695-2248
Mailing Address - Fax:516-621-2823
Practice Address - Street 1:1100 STEWART AVE STE 2
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4839
Practice Address - Country:US
Practice Address - Phone:516-695-2248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty