MEDICARE: CYNTHIA MARINO POSER MPT

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	174400000X	Specialist	812	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598858342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA MARINO POSER MPT

Provider Business Mailing Address
First Line	:	2470 N DECATUR BLVD
Second Line	:	SUITE 120
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2981
Country	:	US
Telephone Number	:	702-338-6694
Fax Number	:	702-247-1446

Provider Business Practice Location Address
First Line	:	2470 N DECATUR BLVD
Second Line	:	SUITE 120
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2981
Country	:	US
Telephone Number	:	702-338-6694
Fax Number	:	702-247-1446

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	05/20/2010

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Directions to “ CYNTHIA MARINO POSER MPT” Practice Location

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