| Organization Name: | JOHN C MARINO, MD |
| NPI Number: | 1033574009 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER M MASLYN (OFFICE MANAGER) |
| Mailing Address: | 3180 West St Canandaigua |
| State: | NY US |
| Postal Code: | 144241722 |
| Phone Number: | 5853941442 |
| Fax Number: | 5853941257 |
| NPI Enumeration Date: | 12/17/2015 |
| NPI Last Update Date: | 12/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084B0040X |
| License Number: | 176316 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Behavioral Neurology & Neuropsychiatry |
| Taxonomy Definition: | Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |