Individual
DR. GREGORIO J. MARIANO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
276-280 ROBINSON ST, BINGHAMTON, NY 13904-1659
(607) 722-2769
(607) 772-2095
Mailing address
276-280 ROBINSON ST, BINGHAMTON, NY 13904-1659
(607) 722-2769
(607) 772-2095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
227709
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02374270
—
NY
Enumeration date
11/15/2006
Last updated
07/08/2007
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