Individual
MS. MARISSA ANN GATDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
550 1ST AVE, SUITE 9V, NEW YORK, NY 10016-6402
(212) 263-7078
Mailing address
550 1ST AVE, SUITE 9V, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430849
NY
Other
Enumeration date
01/22/2015
Last updated
10/03/2018
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