Individual
MRS. MARISSA MOBILIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
95 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 799-7500
Mailing address
95 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 799-7500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308330
NY
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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