Basic Information
Provider Information
NPI: 1477501989
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CASKEY
FirstName: MARINA
MiddleName: F.B.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 575 LEXINGTON AVE
Address2: SUITE 540 G.WILKENS
City: NEW YORK
State: NY
PostalCode: 100226102
CountryCode: US
TelephoneNumber: 2125905152
FaxNumber: 2125907800
Practice Location
Address1: 525 E 68TH ST
Address2: ROOM A-421
City: NEW YORK
State: NY
PostalCode: 100214870
CountryCode: US
TelephoneNumber: 2127466320
FaxNumber: 2127468675
Other Information
ProviderEnumerationDate: 05/05/2006
LastUpdateDate: 04/29/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X229382NYY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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