Individual
SUSAN M MARFOGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 COMMACK RD UNIT 202, COMMACK, NY 11725
(631) 638-4600
(631) 520-2566
Mailing address
22 BELLWOOD AVENUE, SOUTH SETAUKET, NY 11720
(631) 585-5149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F420489
NY
Other
Enumeration date
05/02/2007
Last updated
03/26/2019
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