Individual
DR. NICOLIN M MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 NORTHERN BLVD STE 306, ROSLYN, NY 11576-1506
(516) 627-4151
Mailing address
86 DRAKE LN, MANHASSET, NY 11030-1228
(516) 551-8756
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0352209
NY
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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