Marino, Cheryl Ann

Marino, Cheryl Ann is an individual health care provider with primary practice located at 90 South St , Glens Falls NY 12801-4328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Marino, Cheryl Ann can be contacted via phone (518) 792-7841.

Contact Information

Primary practice address
90 South St Glens Falls NY 12801-4328
Fax: (518) 932-0289
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332239 New York

Profile Details

NPI number 1063416428
LBN Legal business name Marino, Cheryl Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 11th, 2023 - about last year

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 1063416428 NPPES
New York MEDICAID 02327806

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