Individual
MARY MUSCARELLO
Active
Individual
MARY MUSCARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CDE
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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