Individual
MARY MUSCARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CDE
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7324
(516) 674-1905
Mailing address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7324
(516) 674-1905
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
7838635
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307880
NY
Other
Enumeration date
02/13/2014
Last updated
06/22/2017
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