Individual
CORRADO P MARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
173 MINEOLA BLVD, SUITE 401, MINEOLA, NY 11501-2528
(516) 663-1145
(516) 877-2440
Mailing address
173 MINEOLA BLVD, SUITE 401, MINEOLA, NY 11501-2528
(516) 663-1145
(516) 877-2440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
141055
NY
2086S0102X
Surgical Critical Care Physician
Primary
141055
NY
2086S0127X
Trauma Surgery Physician
141055
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00812419
—
NY
Enumeration date
11/13/2006
Last updated
12/15/2016
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