Individual
MARISSA PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 COMMUNITY DR, MANHASSET, NY 11030-3822
(516) 318-6731
Mailing address
159 LITCHFIELD AVE, ELMONT, NY 11003-2717
(516) 318-6731
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432813
NY
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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