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Individual

MARISSA ANNE MARTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 VETERANS BLVD, MASSAPEQUA, NY 11758-4944
(516) 882-9600
Mailing address
75 MINEOLA AVE, MILLER PLACE, NY 11764-2642
(631) 827-3680

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312047
NY

Other

Enumeration date
03/31/2025
Last updated
03/31/2025
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