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Individual

MARINA FAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 968-5637
Mailing address
600 THREE ISLANDS BLVD APT 812, HALLANDALE BEACH, FL 33009-7809
(718) 968-5637

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1091482
NY
363AM0700X
Medical Physician Assistant
PA9114048
FL

Other

Enumeration date
03/14/2010
Last updated
03/30/2023
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