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Individual

MARIANNE R CABE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
375 SEGUINE AVE, STATEN ISLAND, NY 10309-3932
(718) 226-2062
Mailing address
375 SEGUINE AVE, STATEN ISLAND, NY 10309-3932

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
767958
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402878
NY

Other

Enumeration date
06/19/2019
Last updated
02/05/2020
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