Individual
JOHN MARINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6915 AUSTIN ST, FOREST HILLS, NY 11375-4255
(718) 263-3500
Mailing address
1157 FAIRPORT RD, FAIRPORT, NY 14450-1237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012760
NY
193400000X
Single Specialty Group
012760
NY
Other
Enumeration date
12/09/2015
Last updated
02/23/2017
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