Individual
DEBRA S MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
663 W CHESTER ST, LONG BEACH, NY 11561-1706
(516) 632-5393
Mailing address
663 W CHESTER ST, LONG BEACH, NY 11561-1706
(516) 632-5393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012354-1
NY
Other
Enumeration date
01/02/2008
Last updated
07/22/2008
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