person
Maryanne R Farina, PA
Medical Physician Assistant in Stony Brook, New York
NPI 1952411936

Maryanne R Farina is a Medical Physician Assistant based in Stony Brook, NY and is specialized in Medical. Maryanne R Farina practices in Stony Brook, NY and has the professional credentials of PA. The NPI Number for Maryanne R Farina is 1952411936 and holds a License No. 000887 (New York).

The current practice location address for Maryanne R Farina is 100 Patriots Rd, Stony Brook, NY and can be reached out via phone at 631-444-8608 and via fax at 631-444-8778.

Location: 100 Patriots Rd, Stony Brook, NY, 11790-3318
person
Provider Profile Details
NPI Number
1952411936
Provider Name
Maryanne R Farina
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
100 Patriots Rd, Stony Brook, NY, 11790-3318
Phone Number
631-444-8608
Fax Number
631-444-8778
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004187466 05 CT
institution
Provider Business Practice Location Address Details
Address
100 Patriots Rd
City
State
Zip
11790-3318
Phone Number
631-444-8608
Fax Number
631-444-8778
person
Provider Business Mailing Address Details
Address
100 Patriots Rd
City
State
Zip
11790-3318
Phone Number
631-444-8608
Fax Number
631-444-8778
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000887 (Connecticut)
Definition
Definition to come...
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