Individual
MARISA MAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 OVERHILL DR, OLD BRIDGE, NJ 08857-3543
(347) 886-0574
Mailing address
36 OVERHILL DR, OLD BRIDGE, NJ 08857-3543
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
699888
NY
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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