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Individual
CAREY MARRELLO
Active
Individual
CAREY MARRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
189678
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
189678
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06317977
—
NY
Enumeration date
06/30/2020
Last updated
03/23/2023
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