Individual
MRS. MARISA BISIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7481
Mailing address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7481
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302125-1
NY
363LX0106X
Occupational Health Nurse Practitioner
F302125-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F302125-1
STATE LICENSE
—
Enumeration date
11/27/2007
Last updated
03/07/2023
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