Individual
DONIELLE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 125TH ST, NEW YORK, NY 10035-6000
(646) 672-6767
Mailing address
265 SUNRISE HWY STE 207, ROCKVILLE CENTRE, NY 11570-4912
(347) 696-0591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
629978
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402585
NY
Other
Enumeration date
01/18/2019
Last updated
10/06/2019
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