Individual
MARINA ANDRIANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
258 W MAIN ST, BABYLON, NY 11702-3443
(631) 517-9170
(631) 517-9113
Mailing address
258 W MAIN ST, BABYLON, NY 11702-3443
(631) 517-9170
(631) 517-9113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
272088
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
272088
NY
Other
Enumeration date
05/07/2010
Last updated
08/18/2015
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