Individual
DR. ANTHONY J MARINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
989 ROUTE 146, BLDG 200, CLIFTON PARK, NY 12065-3646
(518) 383-0891
(518) 383-1662
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
170881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401299001
BSNENY
NY
05
—
01133839
—
NY
01
—
060511000032
FIDELIS
NY
01
—
08204
MVP
NY
01
—
10001282
CDPHP
NY
01
—
200210
SENIOR WHOLE HEALTH
NY
01
—
4526887
AETNA
NY
01
—
47345
GHI/HMO
NY
01
—
691991
EMPIRE BC
NY
Enumeration date
07/31/2006
Last updated
01/17/2018
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