Individual
MARLY ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 WASHINGTON ST, FARMINGDALE, NY 11735-5844
(516) 708-7536
Mailing address
161 WASHINGTON ST, FARMINGDALE, NY 11735-5844
(516) 708-7536
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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