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

Individual provider Obstetrics & Gynecology Physician · NPI 1578550596

Mr. Marino A Poliseno, DO is an Obstetrics/Gynecology in Staten Island, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1995, 31 years ago. Practices with Amboy Medical Practice PC, a 173-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1050 Clove Rd
Staten Island, NY 10301-3627
Phone: (718) 442-4300
Fax: (718) 816-8369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 225825 (NY)

Record details

NPI number1578550596
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESJuly 16, 2015

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1995 (31 years in practice)
Group practice Amboy Medical Practice Pc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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