Individual
MARISSA HORNACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BSN, RN
Contact information
Practice address
610 2ND AVE, NEW YORK, NY 10016-4859
(732) 500-7114
Mailing address
57 E 77TH ST APT 1, NEW YORK, NY 10075-1816
(732) 500-7114
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310885
NY
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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