Individual
MR. JIMMY MARSEILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
21 12TH AVE, HUNTINGTON STATION, NY 11746-2104
(631) 988-0848
Mailing address
21 12TH AVE, HUNTINGTON STATION, NY 11746-2104
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
779861
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025067416
NY
Other
Enumeration date
09/29/2025
Last updated
10/06/2025
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