Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marvin Maisonave, MD

Individual provider Emergency Medicine Physician · NPI 1801095294

Dr. Marvin Maisonave, MD is an Emergency Medicine Physician in Bath, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7571 State Route 54
Bath, NY 14810-9504
Phone: (315) 589-9657
Fax: (315) 589-9406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 160089-1 (NY)

Record details

NPI number1801095294
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2007
Last updated in NPPESJuly 16, 2007
Mailing address3388 Ridge Rd, Williamson, NY 14589-9352

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