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Individual

MARISOL MARIE VENTURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
186 E 76TH ST FL 2, NEW YORK, NY 10021-2822
(212) 434-2323
(212) 434-6885
Mailing address
186 E 76TH ST FL 2, NEW YORK, NY 10021-2822
(212) 434-2323

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
03189401
NY

Other

Enumeration date
01/15/2022
Last updated
08/23/2024
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