Farina, Maryanne R

Farina, Maryanne R is an individual health care provider with primary practice located at 100 Patriots Rd , Stony Brook NY 11790-3318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Farina, Maryanne R can be contacted via phone (631) 444-8608.

Contact Information

Primary practice address
100 Patriots Rd Stony Brook NY 11790-3318
Fax: (631) 444-8778
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000887 Connecticut

Profile Details

NPI number 1952411936
LBN Legal business name Farina, Maryanne R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952411936 NPPES
Connecticut MEDICAID 004187466

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