Individual
MARISA PETAGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 SOUTH BROADWAY, 4TH FLOOR, WHITE PLAINS, NY 10601
(914) 293-5001
Mailing address
135 ORCHARD PARK, ALLENDALE, NJ 07401
(201) 316-3282
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
738443
NJ
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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