Individual
MARIE ANN MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PNP
Contact information
Practice address
4 TUSA CT, SAINT JAMES, NY 11780-1624
(631) 979-0481
Mailing address
4 TUSA CT, SAINT JAMES, NY 11780-1624
(631) 979-0481
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380408
NY
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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