| Doctor Name: | ANDREA CAROLINA FLOREZ MARINO |
| NPI Number: | 1003126160 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 430 Niagara St Buffalo, NY - 142011886 |
| Business Phone Number: | 7168531335 |
| Business Fax Number: | 7168531598 |
| Mailing Address: | 301 Cayuga Rd, CHEEKTOWAGA |
| State: | NY |
| Postal Code: | 142251950 |
| Phone Number: | 7168193420 |
| Fax Number: | 7168193430 |
| NPI Enumeration Date: | 10/07/2010 |
| NPI Last Update Date: | 11/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |