| Doctor Name: | WILLIAM K MARINIS |
| NPI Number: | 1114928165 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 004181 |
| Business Practice Address: | 309 County Route 47 Suite 1 Saranac Lake, NY - 129835405 |
| Business Phone Number: | 5188912688 |
| Business Fax Number: | 5188914120 |
| Mailing Address: | 309 County Route 47, Suite 1 SARANAC LAKE |
| State: | NY |
| Postal Code: | 129835405 |
| Phone Number: | 5188912688 |
| Fax Number: | 5188914120 |
| NPI Enumeration Date: | 08/02/2005 |
| NPI Last Update Date: | 10/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 004181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |