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

Marlin John

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316670177

Marlin John is a Student in an Organized Health Care Education/Training Program in Northport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

79 Middleville Rd
Northport, NY 11768-2200
Phone: (631) 261-4400
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 009585 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316670177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 7, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateJuly 26, 2022
Mailing address7 Milburn St, Hicksville, NY 11801-4722

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