Individual
BRYANNE MARRIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 CHURCH ST, COEYMANS, NY 12045-7711
(518) 867-3061
Mailing address
501 KILLKENNY CT, MALTA, NY 12020-3340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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