Individual
DR. MARC CIMMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
971 MONTAUK HWY, OAKDALE, NY 11769-1434
(631) 400-8400
(631) 772-2495
Mailing address
PO BOX 318, EAST ISLIP, NY 11730-0318
(631) 969-8700
(631) 696-8703
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
172519
NY
207Q00000X
Family Medicine Physician
Primary
172519
NY
Other
Enumeration date
09/15/2006
Last updated
01/23/2024
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