Individual
CHRISTIANO MARCEL MARCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
718 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(646) 732-8105
Mailing address
8 COUNTISBURY AVE, VALLEY STREAM, NY 11580-1748
(646) 732-8105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NY
175T00000X
Peer Specialist
Primary
0195
NY
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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