Provider Demographics
NPI:1053710822
Name:SINGLETON, MARSHEL MARION (RN)
Entity type:Individual
Prefix:
First Name:MARSHEL
Middle Name:MARION
Last Name:SINGLETON
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-5422
Mailing Address - Country:US
Mailing Address - Phone:631-569-9166
Mailing Address - Fax:
Practice Address - Street 1:125 KENNEDY DR STE 400A
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-4040
Practice Address - Country:US
Practice Address - Phone:631-475-3355
Practice Address - Fax:631-475-1384
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY689369163W00000X, 363LF0000X
NYF346417-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse