Individual
CELESTE A MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
450 LAKEVILLE RD, SMITH INSTITUTE FOR UROLOGY, NEW HYDE PARK, NY 11042-1117
(516) 734-8500
Mailing address
450 LAKEVILLE RD, SMITH INSTITUTE OF UROLOGY, NEW HYDE PARK, NY 11042-1117
(516) 465-3017
(516) 465-1830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001434
NY
Other
Enumeration date
09/29/2006
Last updated
05/05/2009
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