Individual
PHIL MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
384 DOGWOOD AVE, FRANKLIN SQUARE, NY 11010-3447
(516) 351-0103
Mailing address
384 DOGWOOD AVE, FRANKLIN SQUARE, NY 11010-3447
(516) 351-0103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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