Individual
DR. KATHLEEN B MARICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
71 PROSPECT AVE, SUITE 130, HUDSON, NY 12534-2907
(518) 697-3540
(518) 697-3551
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8363
(518) 697-3388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
213768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02489861
—
NY
Enumeration date
06/21/2006
Last updated
07/16/2007
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