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MARCELA I SCHIAPPACASSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
57190 MAIN RD, SOUTHOLD, NY 11971-4750
(631) 626-1006
Mailing address
11 SHERWOOD RD, HAMPTON BAYS, NY 11946-3612
(631) 965-3895

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308897
NY

Other

Enumeration date
07/09/2019
Last updated
07/09/2019
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