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

Marine Vinnikov, PA

Individual provider Physician Assistant · NPI 1285949644

Marine Vinnikov, PA is a Physician Assistant in West Harrison, New York. Qualified in 2004, 22 years ago. Practices with White Plains Physician Services PC, a 384-clinician group and accepts Medicare assignment.

Years since qualifying
22
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

500 Westchester Ave
West Harrison, NY 10604-3200
Phone: (914) 367-7395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1285949644
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 10, 2010
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice White Plains Physician Services Pc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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