Individual
MARISA SORRENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 SHARROTTS LN, STATEN ISLAND, NY 10309-1948
(347) 902-0083
Mailing address
36 SHARROTTS LN, STATEN ISLAND, NY 10309-1948
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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