Individual
DR. JOSEPH MARCHISELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3589 HYLAN BLVD, STATEN ISLAND, NY 10308-3513
(718) 966-3700
(718) 966-0433
Mailing address
3589 HYLAN BLVD, STATEN ISLAND, NY 10308-3513
(718) 966-3700
(718) 966-0433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200939
NY
207R00000X
Internal Medicine Physician
200939
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
200939
NY
Other
Enumeration date
02/21/2006
Last updated
03/07/2023
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