Individual
MICHAEL J. MARESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 BAKER AVE, SUITE 100, POUGHKEEPSIE, NY 12601-1359
(845) 454-1942
(845) 452-4638
Mailing address
19 BAKER AVE, SUITE 100, POUGHKEEPSIE, NY 12601-1359
(845) 454-1942
(845) 452-4638
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
219661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02498593
—
NY
Enumeration date
12/01/2006
Last updated
12/16/2009
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