Provider Demographics
NPI:1750523700
Name:MARINO, BRIAN S (DO)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:S
Last Name:MARINO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1301 TRUMANSBURG RD
Mailing Address - Street 2:SUITE P
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1397
Mailing Address - Country:US
Mailing Address - Phone:607-277-2365
Mailing Address - Fax:607-277-0104
Practice Address - Street 1:2432 N TRIPHAMMER RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1014
Practice Address - Country:US
Practice Address - Phone:607-272-0460
Practice Address - Fax:607-275-9739
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2015-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY271050207R00000X, 207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease