Individual
MARISSA TERMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309870
NY
Other
Enumeration date
08/16/2020
Last updated
01/07/2021
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