Individual
DR. GLEN E MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21422 73RD AVE, OAKLAND GARDENS, NY 11364-2914
(718) 464-4444
(718) 465-1888
Mailing address
21422 73RD AVE, OAKLAND GARDENS, NY 11364-2914
(718) 464-4444
(718) 465-1888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
162617-1
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
162617-1
NY
Other
Enumeration date
09/21/2006
Last updated
06/27/2008
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