Provider Demographics
NPI:1558521690
Name:MARINOFF, GERALD P (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:P
Last Name:MARINOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 597
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-0597
Mailing Address - Country:US
Mailing Address - Phone:845-638-4896
Mailing Address - Fax:845-638-6774
Practice Address - Street 1:214 STRAWTOWN RD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-6827
Practice Address - Country:US
Practice Address - Phone:845-638-4896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106248207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology