MARYANNE R FARINA (NPI# 1952411936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952411936 |
| Entity Type | Individual |
| Full Name | MARYANNE R FARINA |
| Credential | PA |
| Practice Address |
100 Patriots Rd Stony Brook NY 11790-3318 |
| Practice Telephone | 6314448608 |
| Practice Fax Number | 6314448778 |
| Mailing Telephone | 6314448608 |
| Mailing Fax Number | 6314448778 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000887 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004187466 | 05 |
| Street Address |
100 PATRIOTS RD |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621724 | State of New York Comptrollers Office | Skilled Nursing Facility | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2005-06-28 |
| 1609174796 | Monique Contento | Physician Assistant | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2011-03-14 |
| 1780825851 | Long Island State Veterans Home Suny At Stony Brook | Skilled Nursing Facility | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2009-03-18 |
| 1639216682 | Karen Ann Dominger | Internal Medicine | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2007-01-31 |
| 1992842819 | Anshu Singh | Internal Medicine | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2007-01-31 |
| 1528105095 | Jeannine R. Smith | Physician Assistant | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2007-01-31 |
| 1891853438 | Rebecca M Leong | Pharmacist | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2006-12-05 |
| 1508924317 | Abuzafar M Osman | Internal Medicine | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2006-12-05 |
| 1215027370 | Victoria Ann Gonzalez | Pharmacist | 100 Patriots Rd, Stony Brook, NY 11794-0001 | 2006-10-12 |
| 1497853840 | Jennifer Gonzalez | Internal Medicine | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255588414 | Joyce Lorraine Quick | Physician Assistant | Stony Brook Univerity Medical Center, Suny @ Sb, Hsc Level 16, Room 080, Stony Brook, NY 11794-8167 | 2008-08-19 |
| 1013174861 | Marlo Karen Dombroff | Physician Assistant | University Associates In Ob Gyn Ufpc, Stony Brook Cancer Center, Stony Brook, NY 11794-8091 | 2008-05-20 |
| 1619140738 | Bridget A Pellegrini | Physician Assistant | Suny At Stony Brook Level T9, Stony Brook, NY 11794-8430 | 2008-04-09 |
| 1649395229 | William Richard Gray | Physician Assistant | 2500 Nesconset Hwy Bldg 15h, Stony Brook, NY 11790-2554 | 2007-03-20 |
| 1386773406 | Marlon T. Munian | Physician Assistant | Health Sciences Tower Level 3 086, Stony Brook, NY 11794-0001 | 2007-03-05 |
| 1306494133 | Roshan T. Varughese | Physician Assistant | 101 Nicolls Rd Dept Of, Stony Brook, NY 11794-0001 | 2019-08-26 |
| 1003250622 | Christine Frances Campagna | Physician Assistant | 6 Technology Dr, Stony Brook, NY 11794-9254 | 2013-04-25 |
| 1609174796 | Monique Contento | Physician Assistant | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2011-03-14 |
| 1487962023 | Diana C Santori | Physician Assistant | Stony Brook University Medical Ctr, Stony Brook, NY 11794-8122 | 2010-09-16 |
| 1518127018 | Dona Angela Pellegrino | Physician Assistant | Stony Brook University Medical Ctr, Stony Brook, NY 11794-0001 | 2008-06-10 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on MARYANNE R FARINA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.