Provider Demographics
NPI:1881422327
Name:BELL, MARQUIS FONTAINE
Entity type:Individual
Prefix:
First Name:MARQUIS
Middle Name:FONTAINE
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 LIVINGSTON AVE APT 1A
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-2812
Mailing Address - Country:US
Mailing Address - Phone:518-616-6164
Mailing Address - Fax:
Practice Address - Street 1:439 LIVINGSTON AVE APT 1A
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-2812
Practice Address - Country:US
Practice Address - Phone:518-616-6164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company