Individual
MICHAEL MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 EAST 98TH STREET, 14TH FL, NEW YORK, NY 10029-6574
(212) 241-5392
(212) 534-2654
Mailing address
BOX 1263, 1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6574
(212) 241-5392
(212) 534-2654
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
165351
NY
2086S0129X
Vascular Surgery Physician
165351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01350765
—
NY
Enumeration date
03/03/2006
Last updated
01/25/2010
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