Individual
WILLIAM VINCENT MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
46 E BROADWAY, NEW YORK, NY 10002-6803
(212) 343-3573
Mailing address
7 RUMSON RD, KENDALL PARK, NJ 08824-1229
(732) 422-7963
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000614
NY
Other
Enumeration date
06/09/2005
Last updated
09/29/2008
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