Individual
ELISABETH J MARIGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
8 NORTHAMPTON RD., CHILDREN'S MENTAL HEALTH OP CLINIC, AMSTERDAM, NY 12010-3224
(518) 843-7520
(518) 843-7537
Mailing address
427 GUY PARK AVE., BEHAVIORAL HEALTH, AMSTERDAM, NY 12010-1064
(518) 841-7360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
402215
NY
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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