Individual
BRIDGET KELLY MARCELLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6756
Mailing address
150 E 42ND ST FL 9, NEW YORK, NY 10017-5699
(646) 605-8186
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
295942
NY
207RX0202X
Medical Oncology Physician
Primary
295942
NY
Other
Enumeration date
04/01/2014
Last updated
01/09/2020
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