Individual
ARMIEL MARQUEZ ASTILLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 JUNIPER AVE, SMITHTOWN, NY 11787-3441
(917) 348-7442
Mailing address
77 MAPLE AVE APT C9, SMITHTOWN, NY 11787-3534
(917) 348-7442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
626078
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
626078-1
NY
Other
Enumeration date
06/12/2018
Last updated
09/06/2024
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