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

Mr. Marino Odeng Mauro, PA

Individual provider Physician Assistant · NPI 1245584101

Mr. Marino Odeng Mauro, PA is a Physician Assistant in Syracuse, New York. Qualified in 2012, 14 years ago. Practices with Suny Health Science Center at Syracuse, a 210-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

550 Harrison St Ste I
Syracuse, NY 13202
Phone: (315) 464-6527
Fax: (315) 464-1729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016161 (NY)

Record details

NPI number1245584101
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 30, 2012
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Suny Health Science Center At Syracuse — 210 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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