Individual
MRS. SHELLY PASQUARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9479 MAYNARD DRIVE, MARCY, NY 13403
(315) 266-3424
(315) 735-3358
Mailing address
67 WHITESBORO ST, YORKVILLE, NY 13495-1313
(315) 266-3424
(315) 735-3358
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
399180-1
NY
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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