Georgina Adelaide Marek, M.S. SPECIAL EDUCATI
Individual provider Active NPI Specialist · Patterson, NY
NPI 1659633899 · NPPES record last updated Jun 13, 2012
Key facts
- NPI
- 1659633899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 192 Bullet Hole Rd
Patterson, NY 12563-2968 - Phone
- (845) 228-0949
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Yes |
Addresses
Primary practice location
192 Bullet Hole Rd
Patterson, NY 12563-2968
Mailing address
192 Bullet Hole Rd
Patterson, NY 12563-2968
Phone (845) 228-0949
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174400000X | Other | NY | 17 |
Other providers in Patterson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.