Healthcare Provider Details

I. General information

NPI: 1013836659
Provider Name (Legal Business Name): DANIEL F MARINO LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

696 DUTCHESS TPKE STE 1
POUGHKEEPSIE NY
12603-6444
US

IV. Provider business mailing address

696 DUTCHESS TPKE STE 1
POUGHKEEPSIE NY
12603-6444
US

V. Phone/Fax

Practice location:
  • Phone: 845-329-5611
  • Fax:
Mailing address:
  • Phone: 845-329-5611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number034229
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: