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Individual

CHRISTINE KATHRINE MARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
13 WELLS LN, STONY BROOK, NY 11790-1115

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016695
NY

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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