Individual
DR. MARISSA GLORIA CARDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3716 108TH ST, CORONA, NY 11368-2025
(718) 651-4000
Mailing address
3716 108TH ST, CORONA, NY 11368-2025
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
316313
NY
Other
Enumeration date
03/19/2019
Last updated
06/30/2022
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