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Individual

DR. FLAVIA MARINO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D., F.A.A.P.

Contact information

Practice address
155 E 38TH ST, SUITE 2E, NEW YORK, NY 10016-2660
(212) 490-2446
(212) 599-2376
Mailing address
155 EAST 38TH STREET, SUITE 2E, NEW YORK, NY 10016
(212) 490-2446

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
141603
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0582911
AETNA HEALTH MGR, LLC
NY
01
0M0156
HEALTH NET
NY
01
26947P
HIP PRIS #
NY
01
76A501
EMPIRE BLUE CROSS
NY
01
NP1163
OXFORD
NY
Enumeration date
06/15/2006
Last updated
07/08/2007
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