Individual
DR. DANIEL M MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-3609
(631) 444-0580
Mailing address
16 FIELDVIEW DR, NORTHPORT, NY 11768-2408
(631) 871-9038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
325327
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
325327
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
325327
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
08/11/2023
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