Individual
GINAMARIE MARTUCCIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(888) 240-1793
Mailing address
133 ELMWOOD ST, VALLEY STREAM, NY 11581-1821
(516) 835-1374
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132330
NY
367500000X
Certified Registered Nurse Anesthetist
705281
NY
Other
Enumeration date
05/04/2021
Last updated
07/24/2021
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