Marino, Jacqueline Aurora

Marino, Jacqueline Aurora is an individual health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1347. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Marino, Jacqueline Aurora can be contacted via phone (631) 805-4978.

Contact Information

Primary practice address
100 Port Washington Blvd Roslyn NY 11576-1347
Phone: (631) 805-4978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X New York

Profile Details

NPI number 1952075764
LBN Legal business name Marino, Jacqueline Aurora
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2021
Last updated Aug 4th, 2021 - about 3 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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