Individual
MARLIN JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
7 MILBURN ST, HICKSVILLE, NY 11801-4722
(516) 698-5243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009585
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2022
Last updated
09/06/2022
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