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Individual

CAREY MARRELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
9562 STATE ROUTE #13, CAMDEN, NY 13316-4940
(315) 245-5029
(315) 245-5056
Mailing address
9562 STATE ROUTE #13, CAMDEN, NY 13316-4940
(315) 245-5029
(315) 245-5056

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
189678
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
189678
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06317977
NY
Enumeration date
06/30/2020
Last updated
03/23/2023
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