Individual
GABRIELLA MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 NORTHERN BLVD, ALBANY, NY 12204-1004
(518) 471-3111
Mailing address
5049 COONS RD, SCHENECTADY, NY 12303-5386
(518) 956-4296
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
031951-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2024
Last updated
10/14/2024
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