Individual
MR. THOMAS STEPHEN MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
123 W 124TH ST, HARLEM UNITED COMMUNITY AIDS CENTER, NEW YORK, NY 10027-4920
(212) 531-1300
(212) 531-1085
Mailing address
5 CHELSEA DR, NORTH MERRICK, NY 11566-2005
(516) 804-6210
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008353
NY
Other
Enumeration date
08/10/2005
Last updated
05/05/2011
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