Marino, Mark C
Marino, Mark C is an sole proprietor health care provider with primary practice located at 2500 Nesconset Hwy. Bldg. 22B, Stony Brook NY 11790. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Marino, Mark C can be contacted via phone (631) 751-7988.Contact Information
Primary practice address
2500 Nesconset Hwy. Bldg. 22B
Stony Brook NY 11790
Phone: (631) 751-7988
Fax: (631) 751-7989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0167201 | New York |
Profile Details
| NPI number | 1295828275 |
|---|---|
| LBN Legal business name | Marino, Mark C |
| Credentials | MA, PT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jan 11th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295828275 | NPPES |
| New York | Other | QT0841 | MEDICARE ID |
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