Dr. Glen E Marin, D.O.
Family Medicine in Oakland Gardens, NY. Individual provider (NPI-1).
NPI number1700985231
StatusActive
Last updated in NPPESJun 27, 2008
Details
- NPI
- 1700985231
- Entity type
- Individual (NPI-1)
- Name
- Dr. Glen E Marin
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Jun 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 162617-1 | NY | Yes |
| 207QG0300X | Family Medicine, Geriatric Medicine | 162617-1 | NY |
Practice location
21422 73rd AveOakland Gardens, NY 11364-2914
Phone 718-464-4444 · Fax 718-465-1888
Mailing address
21422 73rd AveOakland Gardens, NY 11364-2914
Phone 718-464-4444 · Fax 718-465-1888
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