| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DEGEN MARINIELLO | 1194573386 | 2024-05-11 |
Degen Mariniello is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194573386. Registration indicates Degen Mariniello is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Degen Mariniello MD |
| Practice Office Address | 462 GRIDER ST FL 3 BUFFALO, NY US |
| Practice Office Telephone | 7168983627 |
| Mailing Address | 462 GRIDER ST FL 3 BUFFALO, NY 142153021 US |
| Business Telephone | 7168983627 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |