Individual
KRISTINE ANN MARRALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
15 LANCASTER CT, MANHASSET, NY 11030-4108
(917) 532-9562
Mailing address
15 LANCASTER CT, MANHASSET, NY 11030-4108
(917) 532-9562
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303276-01
NY
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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