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Contact Information

MARYANNE R FARINA, PA
100 PATRIOTS RD
STONY BROOK, NY11790-3318
 Phone: 631-444-8608
 Fax: 631-444-8778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARYANNE R FARINA · (Female)

NPI Number 1952411936
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/30/2006
Last updated 12/27/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000887
  • CT Medicaid 004187466
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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