Individual
DANIELLE MARINO IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 KATHERINE ST, PORT JEFFERSON STATION, NY 11776-1709
(631) 828-3981
Mailing address
61 KATHERINE STREET, PORT JEFFERSON STATION, NY 11776
(631) 828-3981
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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