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Organization
MARIANNE MEDICAL SERVICE P.C
Active
Organization
MARIANNE MEDICAL SERVICE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMALINI ASIRWATHAM M.D. (PRINCIPAL OFFICER)
(718) 448-6034
Entity
Organization
Contact information
Practice address
19 SCHERMERHORN ST, BROOKLYN, NY 11201
(718) 448-6034
(718) 448-5396
Mailing address
665 CLOVE RD, STATEN ISLAND, NY 10310-2737
(718) 448-6034
(718) 448-5396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
231851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02730312
—
NY
Enumeration date
08/16/2006
Last updated
06/19/2018
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