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Individual

ALEXANDRA MARIE MARCELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1222 TOWN COLONY DR, MIDDLETOWN, CT 06457-5927
(516) 492-1807
Mailing address
1811 FREDERICK AVE, MERRICK, NY 11566-2911

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
202914
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
754344
NY

Other

Enumeration date
05/02/2025
Last updated
12/16/2025
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