National Provider Identifier

John C Marino, MD

John C Marino, MD is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician in Canandaigua, NY and a listed phone number of (585) 905-0061.

NPI 1831105899Canandaigua, NYChild & Adolescent Psychiatry Physician

Profile Overview

NPI
1831105899
Provider Type
Individual
Primary Specialty
Child & Adolescent Psychiatry Physician
Enumeration Date
July 31, 2006
Last Updated
December 23, 2024

Practice Location

  • 3200 West St Ste 500
  • Canandaigua, NY 14424-1722

Phone: (585) 905-0061

Specialties

  • Child & Adolescent Psychiatry Physician (2084P0804X)
Full Record
NPI
1831105899
Entity Type
Individual
Last Name
Marino
First Name
John
Middle Name
C
Credential
MD
Mailing Street Address
3200 West St Ste 500
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1722
Mailing Country
US
Mailing Phone
(585) 905-0061
Mailing Fax
(585) 412-6612
Practice Street Address
3200 West St Ste 500
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1722
Practice Country
US
Practice Phone
(585) 905-0061
Practice Fax
(585) 412-6612
Enumeration Date
July 31, 2006
Last Updated
December 23, 2024
Sex
Male
Sole Proprietor
No
Certification Date
December 23, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Child & Adolescent Psychiatry Physician (2084P0804X)