Individual
DR. JOSEPH MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 FRANKLIN AVE, DEPT OF ANESTHESIA, VALLEY STREAM, NY 11580-2145
(516) 256-6000
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
195266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01488013
—
NY
01
—
080120912
RAILROAD MEDICARE
NY
01
—
CN4350
RAILROAD MEDICARE GROUP
NY
Enumeration date
06/27/2005
Last updated
09/28/2011
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