Individual
DR. MARINA AMITINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4332 KISSENA BLVD STE LA, FLUSHING, NY 11355-2934
(718) 939-0609
(718) 939-0609
Mailing address
3525 77TH ST APT A58, JACKSON HEIGHTS, NY 11372-4542
(917) 757-3605
(718) 939-4509
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
225539-1N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02445150
—
NY
Enumeration date
02/22/2006
Last updated
10/20/2021
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