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Mark C Marino, MA,PT
Specialist in Stony Brook, New York
NPI 1295828275

Mark C Marino is a Specialist based in Stony Brook, NY. Mark C Marino practices in Stony Brook, NY and has the professional credentials of MA,PT. The NPI Number for Mark C Marino is 1295828275 and holds a License No. 0167201 (New York).

The current practice location address for Mark C Marino is 2500 Nesconset Hwy., Stony Brook, NY and can be reached out via phone at 631-751-7988 and via fax at 631-751-7989.

Location: 2500 Nesconset Hwy., Stony Brook, NY, 11790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295828275
Provider Name
Mark C Marino
Credential
MA,PT
Provider Entity Type
Individual
Gender
Male
Address
2500 Nesconset Hwy., Stony Brook, NY, 11790
Phone Number
631-751-7988
Fax Number
631-751-7989
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
QT0841 01 NY MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
2500 Nesconset Hwy.
City
Stony Brook
State
New York
Zip
11790
Phone Number
631-751-7988
Fax Number
631-751-7989
person
Provider Business Mailing Address Details
Address
2500 Nesconset Hwy.
City
Stony Brook
State
New York
Zip
11790
Phone Number
631-751-7988
Fax Number
631-751-7989
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0167201 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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