Provider Demographics
NPI:1467562645
Name:MARIN, MORISA J (MD)
Entity type:Individual
Prefix:DR
First Name:MORISA
Middle Name:J
Last Name:MARIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:222 E MIDDLE COUNTRY RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2814
Mailing Address - Country:US
Mailing Address - Phone:631-775-3290
Mailing Address - Fax:631-775-3299
Practice Address - Street 1:48 ROUTE 25A STE 207
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1448
Practice Address - Country:US
Practice Address - Phone:631-862-3800
Practice Address - Fax:631-265-5520
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2025-07-11
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Provider Licenses
StateLicense IDTaxonomies
NY172935207VG0400X, 207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Not Answered207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics