Marino, Anthony Michael

Marino, Anthony Michael is an individual health care provider with primary practice located at 1020 Park Ave Ste 105, Cranston RI 02910-3227. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Marino, Anthony Michael can be contacted via phone (401) 944-9659.

Contact Information

Primary practice address
1020 Park Ave Ste 105 Cranston RI 02910-3227
Phone: (401) 944-9659
Fax: (401) 944-9859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW00290 Rhode Island

Profile Details

NPI number 1063451623
LBN Legal business name Marino, Anthony Michael
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063451623 NPPES
Rhode Island Other 406568 BLUE CHIP
Rhode Island MEDICAID AM01505 BLUE CHIP
Rhode Island Other 3369-7 BLUE CHIP
Rhode Island Other 62-46448 BLUE CHIP

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