Individual
MARISSA HERTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1 GUSTAVE L LEVY PL # 1208, NEW YORK, NY 10029-6504
(212) 241-7022
Mailing address
286 ARCH ST, OCEANSIDE, NY 11572-4302
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
383212
NY
Other
Enumeration date
01/05/2021
Last updated
09/10/2024
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