Organization
MARC CIMMINO DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC C CIMMINO D.O. (PHYSICIAN/OWNER)
(631) 969-8700
Entity
Organization
Contact information
Practice address
40 BAY SHORE AVE, BAY SHORE, NY 11706-7929
(631) 969-8700
(631) 969-8703
Mailing address
40 BAY SHORE AVE, BAY SHORE, NY 11706-7929
(631) 969-8700
(631) 969-8703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
172519
NY
Other
Enumeration date
08/18/2008
Last updated
09/05/2008
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