Individual
ATARA MARZOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 JUDITH ST, PLAINVIEW, NY 11803-3604
(518) 928-8355
Mailing address
11 JUDITH ST, PLAINVIEW, NY 11803-3604
(518) 928-8355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
696483
NY
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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