Individual
EDRIENE MARCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747-3668
(631) 385-7780
(646) 839-5781
Mailing address
51 SCARBOROUGH LN STE D, WAPPINGERS FALLS, NY 12590-5173
(845) 632-1254
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
12/06/2016
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