Individual
JILL MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
455 N END AVE, NEW YORK, NY 10282-1131
(212) 489-8800
Mailing address
23 MANOR LN, LARCHMONT, NY 10538-3613
(513) 659-4546
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311077
NY
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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