Individual
MARISA BRACCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BROADHOLLOW RD, MELVILLE, NY 11747-4833
(888) 722-2072
Mailing address
242 WOODLAWN AVE, SAINT JAMES, NY 11780-2533
(631) 882-4314
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
687886
NY
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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