Provider Demographics
NPI:1811085988
Name:FRANK A. TOMAO, MD,JOHN S.MARINO,MD,BRIAN T.MCNELIS,MD,PC
Entity type:Organization
Organization Name:FRANK A. TOMAO, MD,JOHN S.MARINO,MD,BRIAN T.MCNELIS,MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:MARINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-883-0122
Mailing Address - Street 1:2001 MARCUS AVE
Mailing Address - Street 2:SUITE S265
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1035
Mailing Address - Country:US
Mailing Address - Phone:516-883-0122
Mailing Address - Fax:516-883-2017
Practice Address - Street 1:2001 MARCUS AVE
Practice Address - Street 2:SUITE S265
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042-1035
Practice Address - Country:US
Practice Address - Phone:516-883-0122
Practice Address - Fax:516-883-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2010-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW24811Medicare ID - Type UnspecifiedGROUP ID NUMBER