Individual
MARISOL AFIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 PARK AVE, ROOM #269, HUNTINGTON, NY 11743-2787
(631) 351-2725
Mailing address
270 PARK AVE, ROOM #269, HUNTINGTON, NY 11743-2787
(631) 351-2725
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306991-1
NY
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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