Individual
MRS. MARISA GOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2113 46TH AVE, LONG ISLAND CITY, NY 11101-4701
(305) 297-5864
Mailing address
2113 46TH AVE, LONG ISLAND CITY, NY 11101-4701
(305) 297-5864
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383221
NY
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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