Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marvin Base MD PC

Organization Internal Medicine Physician · NPI 1114204682

Marvin Base MD PC is an Internal Medicine Physician in Bayside, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210-08 Northern Blvd
Bayside, NY 11361
Phone: (718) 281-4461
Fax: (718) 281-0566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence NY187770 (NY)

Record details

NPI number1114204682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Base — Physician/Principal · (718) 281-4461
NPI enumeratedNovember 10, 2011
Last updated in NPPESNovember 10, 2011
Mailing address210-08 Northern Blvd, Bayside, NY 11361

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