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Organization
TOWN COUNTRY MEDICAL GROUP PLLC
Active
Organization
TOWN COUNTRY MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ANTHONY MARINO MD (CEO)
(914) 719-3069
Entity
Organization
Contact information
Practice address
3 GRACE AVE STE 167, GREAT NECK, NY 11021-2400
(855) 693-7362
Mailing address
3 GRACE AVE STE 167, GREAT NECK, NY 11021-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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