MEDICARE: MARINA F.B. CASKEY 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
1	207RI0200X	Infectious Disease Physician	229382	NY

General Provider Information

NPI Number	:	1477501989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARINA F.B. CASKEY M.D.

Provider Business Mailing Address
First Line	:	575 LEXINGTON AVE
Second Line	:	SUITE 540 G.WILKENS
City	:	NEW YORK
State	:	NY
Zip	:	10022-6102
Country	:	US
Telephone Number	:	212-590-5152
Fax Number	:	212-590-7800

Provider Business Practice Location Address
First Line	:	525 E 68TH ST
Second Line	:	ROOM A-421
City	:	NEW YORK
State	:	NY
Zip	:	10021-4870
Country	:	US
Telephone Number	:	212-746-6320
Fax Number	:	212-746-8675

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	04/29/2016

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