| Leslie Marino Md Pllc | |
|
50 Park Ave Babylon NY 11702-1708 | |
| (631) 502-7938 | |
| (631) 382-0348 |
| Full Name | Leslie Marino Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 50 Park Ave, Babylon, New York |
| Authorized Official Name and Position | Leslie Marino (OWNER) |
| Authorized Official Contact | 6315027938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Marino Md Pllc 50 Park Ave Babylon NY 11702-1708 Ph: (631) 502-7938 | Leslie Marino Md Pllc 50 Park Ave Babylon NY 11702-1708 Ph: (631) 502-7938 |
| NPI Number | 1356927693 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 5092150573 |
|---|---|
| Medicare Enrollment ID | O20240226000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356927693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Caryn E Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437410867 PECOS PAC ID: 2365663895 Enrollment ID: I20141024001744 |
| Provider Name | Leslie Marino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841581477 PECOS PAC ID: 4183914450 Enrollment ID: I20160531000432 |
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