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Individual
MR. MICHAEL A MARINO
Active
Individual
MR. MICHAEL A MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7507
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098027
GHI PROVIDER NUMBER
NY
01
—
P468625
OXFORD PROVIDER NUMBER
NY
Enumeration date
08/16/2006
Last updated
10/24/2008
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