Individual
DR. MICHELLE J MARINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., MS, BA
Contact information
Practice address
490 DELAWARE AVE, BUFFALO, NY 14202-1304
(716) 881-4865
Mailing address
490 DELAWARE AVE, BUFFALO, NY 14202-1304
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
MARIM1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MARIM1
CERTIFICATE OF QUALIFICATION
NY
Enumeration date
09/16/2015
Last updated
09/16/2015
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