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Individual

MS. DANGUOLE MARULLO I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
270 ILYSSA WAY, STATEN ISLAND, NY 10312-1382
(347) 495-1747
Mailing address
270 ILYSSA WAY, STATEN ISLAND, NY 10312-1382
(347) 495-1747

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345662
NY

Other

Enumeration date
03/01/2020
Last updated
03/01/2020
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