Individual
MARLENE MALETA PITAMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2 MAIN ST, HEMPSTEAD, NY 11550-4020
(516) 489-6600
(516) 489-6640
Mailing address
627 PEARL ST, OCEANSIDE, NY 11572-1828
(516) 489-6600
(516) 489-6640
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011416
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02872411
—
NY
Enumeration date
11/22/2006
Last updated
10/22/2013
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