Individual
MARINA K BAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-8490
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
308261
NY
Other
Enumeration date
03/22/2013
Last updated
03/01/2024
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