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Individual

MARINA K S MA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4 LAND RE WAY, SUITE 100, SPENCERPORT, NY 14559-1735
(585) 368-6620
Mailing address
4 LAND RE WAY, SUITE 100, SPENCERPORT, NY 14559-1735
(585) 368-6620

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
257971
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03248551
NY
Enumeration date
05/28/2007
Last updated
08/23/2016
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