Individual
DR. GINA MARIA MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
444 MERRICK RD STE LL2, LYNBROOK, NY 11563-2400
(516) 599-4242
(516) 599-4449
Mailing address
444 MERRICK RD STE LL2, LYNBROOK, NY 11563-2400
(516) 599-4242
(516) 599-4449
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
205926-1
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
205926-1
NY
207NS0135X
Procedural Dermatology Physician
205926-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01886828
—
NY
Enumeration date
07/18/2005
Last updated
02/10/2021
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