Individual
KAREN KAZANJIAN MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 GREENWICH AVE, CENTRAL VALLEY, NY 10917-3718
(845) 492-1963
Mailing address
22 GREENWICH AVE, CENTRAL VALLEY, NY 10917-3718
(845) 492-1963
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431544
NY
Other
Enumeration date
07/18/2019
Last updated
07/18/2024
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