National Provider Identifier
Cynthia M Marino, PA
Cynthia M Marino, PA is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Clinical Nurse Specialist in Canandaigua, NY and a listed phone number of (585) 905-0061.
Profile Overview
- NPI
- 1982683934
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- Enumeration Date
- January 10, 2006
- Last Updated
- January 10, 2020
Practice Location
- 3200 West St
- Canandaigua, NY 14424-1722
Phone: (585) 905-0061
Specialties
- Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1982683934
- Entity Type
- Individual
- Last Name
- Marino
- First Name
- Cynthia
- Middle Name
- M
- Credential
- PA
- Provider Other Last Name
- Ellis
- Provider Other First Name
- Cynthia
- Provider Other Middle Name
- M
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3200 West St
- 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
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1722
- Practice Country
- US
- Practice Phone
- (585) 905-0061
- Enumeration Date
- January 10, 2006
- Last Updated
- January 10, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 10, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 0107647 (NY, Independent Health), 000570164004 (NY, Community Blue)