Individual
MS. MARCELLA K ANTONIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524
Mailing address
PO BOX 14890, STE 200, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307146-1
NY
Other
Enumeration date
02/19/2015
Last updated
03/17/2017
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