Organization
MARINO D. TAVAREZ, MD, MPH PLLC
Active
Other names
Finger Lakes Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARINO DE JESUS TAVAREZ M.D. (OWNER)
(908) 400-1843
Entity
Organization
Contact information
Practice address
150 JAY ST, FINGER LAKES FAMILY MEDICINE, GENEVA, NY 14456-3212
(315) 759-5426
(585) 486-1634
Mailing address
150 JAY ST, FINGER LAKES FAMILY MEDICINE, GENEVA, NY 14456-3212
(315) 759-5426
(585) 486-1634
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
232852
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02868248
—
NY
Enumeration date
06/27/2014
Last updated
01/05/2015
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