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Organization
TOWN AND COUNTRY MEDICAL GROUP PLLC
Active
Organization
TOWN AND COUNTRY MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ANTHONY MARINO MD (CEO, MANAGING PARTNER)
(855) 698-7362
Entity
Organization
Contact information
Practice address
3 GRACE AVE, GREAT NECK, NY 11021-2415
(855) 693-7362
Mailing address
104 WEBSTER AVE, MANHASSET, NY 11030-1965
(914) 719-3069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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