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Individual

MARIE OCCHIOGROSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
(518) 242-4770
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
340029
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
340029
LICENSE
NY
Enumeration date
04/12/2012
Last updated
02/09/2018
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