Individual
MICHELLE DANA MARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180-2466
(518) 833-6470
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
103772885
NY
2084P0800X
Psychiatry Physician
Primary
285020
NY
2084P0805X
Geriatric Psychiatry Physician
285020
NY
Other
Enumeration date
06/15/2012
Last updated
03/28/2023
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