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NPI Code Detail

MEDICARE: DR. THOMAS MARINO M.D.

MEDICARE:  DR. THOMAS  MARINO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician304515NY

General Provider Information

NPI Number : 1619322922
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS MARINO M.D.
Provider Business Mailing Address
First Line : 3871 HARLEM RD STE 202
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1946
Country : US
Telephone Number : 716-836-7510
Fax Number : 716-832-3540
Provider Business Practice Location Address
First Line : 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2692
Country : US
Telephone Number : 716-836-7510
Fax Number : 716-832-3540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2016
Last Update Date : 09/22/2020

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Directions to “ DR. THOMAS MARINO M.D.” Practice Location

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