CYNTHIA M MARINO (NPI# 1982683934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982683934 |
| Entity Type | Individual |
| Full Name | CYNTHIA M MARINO |
| Other Name | CYNTHIA M ELLIS |
| Credential | PA |
| Practice Address |
3200 West St Canandaigua NY 14424-1722 |
| Practice Telephone | 5859050061 |
| Mailing Telephone | 5859050061 |
| Mailing Fax Number | 5854126612 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
002173 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
002173 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | COMMUNITY BLUE | 000570164004 | 01 |
| NY | INDEPENDENT HEALTH | 0107647 | 01 |
| Street Address |
3200 WEST ST |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081169 | Paul S Whitehead | Specialist | 3200 West St, Canandaigua, NY 14424-1722 | 2005-05-31 |
| 1598386450 | Laurie Ann Rowe | Registered Nurse | 3200 West St, Canandaigua, NY 14424-1722 | 2020-05-01 |
| 1871926204 | Kathleen M Rose | Registered Nurse | 3200 West St, Canandaigua, NY 14424-1722 | 2013-08-21 |
| 1861678112 | John O. Evans, O.d | Eyewear Supplier (Equipment, not the service) | 3200 West St, Canandaigua, NY 14424-1722 | 2008-01-17 |
| 1932260684 | Lakeshore Family and Cosmetic Dentistry P.C. | Dentist | 3200 West St, Canandaigua, NY 14424-1722 | 2006-12-13 |
| 1164514378 | Sandro R Popelka | Dentist | 3200 West St, Canandaigua, NY 14424-1722 | 2006-09-28 |
| 1568499671 | John O Evans | Optometrist | 3200 West St, Canandaigua, NY 14424-1722 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862804 | Empire Np Psychiatric Care, Pllc | Clinical Nurse Specialist | 22 Nottingham Way, Cohoes, NY 12047-4972 | 2020-02-11 |
| 1710522875 | Upstate Ketamine Care | Clinical Nurse Specialist | 3300 Monroe Ave Ste 319, Rochester, NY 14618-4617 | 2019-11-13 |
| 1083840383 | Deborah Maxine Torres | Clinical Nurse Specialist | 184 Quaspeck Blvd, Valley Cottage, NY 10989-2428 | 2009-06-02 |
| 1306043203 | John Charles Azzopardi | Clinical Nurse Specialist | 220 E 87th St, Office Suite L.a., New York, NY 10128-3127 | 2007-07-02 |
| 1033268453 | Laura Kleinerman | Clinical Nurse Specialist | 156 West 86th Street, 1c, New York, NY 10024-4029 | 2007-01-09 |
| 1437250206 | Nancy C Seddio | Clinical Nurse Specialist | 39 Nippon Ave, Staten Island, NY 10312 | 2006-09-26 |
| 1295761070 | Beth A. Vandenberg | Clinical Nurse Specialist | 580 Pleasant View Dr, Lancaster, NY 14086-1404 | 2006-06-24 |
| 1457337404 | Lynn D Mitchell | Clinical Nurse Specialist | 629 W Main St, Riverhead, NY 11901-2842 | 2005-12-21 |
| 1124625074 | Danielle Damas | Clinical Nurse Specialist | 455 Tarrytown Rd Ste 1594, White Plains, NY 10607-1313 | 2020-10-05 |
| 1790303543 | Mary F Drost | Clinical Nurse Specialist | 155 Indian Head Rd, Commack, NY 11725-2212 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
Please comment or provide details below to improve the information on CYNTHIA M MARINO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.