Individual
MARLIN DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 PAM CT, SOUTH SETAUKET, NY 11720-1110
(516) 982-8118
Mailing address
4 PAM CT, SOUTH SETAUKET, NY 11720-1110
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/26/2007
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