Individual
JOHN MATTEHEW MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3112 33RD ST APT 1A, ASTORIA, NY 11106-2442
(646) 552-7301
Mailing address
3112 33RD ST APT 1A, ASTORIA, NY 11106-2442
(646) 552-7301
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
000090-01
NY
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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