Provider Demographics
NPI:1093814725
Name:DRS MARINO NASSIF & ASSOCIATES INC
Entity Type:Organization
Organization Name:DRS MARINO NASSIF & ASSOCIATES INC
Other - Org Name:DRS RHODES RINALDI & ASSOC INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-920-8060
Mailing Address - Street 1:63 GRAHAM RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223
Mailing Address - Country:US
Mailing Address - Phone:330-920-8060
Mailing Address - Fax:330-920-9779
Practice Address - Street 1:63 GRAHAM RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223
Practice Address - Country:US
Practice Address - Phone:330-920-8060
Practice Address - Fax:330-920-9779
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRS RHODES, RINALDI & ASSOC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-21
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0433098Medicaid