Individual
MARCIA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 BARD AVENUE, STATEN ISLAND, NY 10310
(718) 442-8632
Mailing address
222 BARD AVE, STATEN ISLAND, NY 10310-1658
(718) 442-8632
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308096
NY
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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