# GERVASIO & MARCHESE LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366698854
- **Authorized official:** DR. NICHOLAS A MARCHESE DPM (DOCTOR)
- **Authorized official phone:** (516) 799-0550

## Contact information

- **Practice address:** 1000 PARK BLVD, MASSAPEQUA PARK, NY 11762-2740
- **Practice address phone:** (516) 799-0550
- **Practice address fax:** (516) 799-0562
- **Mailing address:** 1000 PARK BLVD, MASSAPEQUA PARK, NY 11762-2740
- **Mailing address phone:** (516) 799-0550
- **Mailing address fax:** (516) 799-0562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | NOO5755 | NY | Yes |

## Other

- **Enumeration date:** 08/15/2008
- **Last updated:** 08/15/2008