Individual
ALLISON MARINOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BRANDYWINE DR, DEER PARK, NY 11729-5721
(631) 392-0081
(631) 392-0084
Mailing address
149 PRAIRIE DR, NORTH BABYLON, NY 11703-1103
(631) 903-3181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
107034
NY
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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