Individual
KAITLYN MARCHENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
329 E 149TH ST FL 4, BRONX, NY 10451-5626
(718) 769-2698
Mailing address
66 W 107TH ST APT 34, NEW YORK, NY 10025-3215
(917) 273-8459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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