Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAURY A MARMOR, M.D.
Active Sole ProprietorDR. MAURY A MARMOR, M.D. is a 207WX0110X healthcare provider located in PORT JEFFERSON, New York. NPI 1417064569 is currently active in the NPPES registry. Verify at CMS.
207WX0110X · PORT JEFFERSON, NY
Registration Details
- NPI Number
- 1417064569
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2006 (19.980000773855 yrs)
- Last Updated
- Aug 19, 2025
- Licenses
-
146453 (NY)146453 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
60 N COUNTRY RDSUITE 301PORT JEFFERSON, NY, 117772188Browse NY providers · Browse ZIP 11777
- Phone
- 6314744200
- Fax
- 6314744202
- Primary Specialty
-
207WX0110X
207WX0110X
- Additional Specialty
- 207WX0110X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.