Provider Demographics
NPI:1871635698
Name:MAIORINO, JOHN E (PA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:E
Last Name:MAIORINO
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Gender:M
Credentials:PA
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Mailing Address - Street 1:290 S WELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-4903
Mailing Address - Country:US
Mailing Address - Phone:631-225-2999
Mailing Address - Fax:631-225-2104
Practice Address - Street 1:290 S WELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-4903
Practice Address - Country:US
Practice Address - Phone:631-225-2999
Practice Address - Fax:631-225-2104
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2017-01-21
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Provider Licenses
StateLicense IDTaxonomies
NY005736-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical