Individual
MARINA C PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CCTN
Contact information
Practice address
4915 SKILLMAN AVE APT 1P, WOODSIDE, NY 11377-4105
(347) 603-6723
Mailing address
4915 SKILLMAN AVE APT 1P, WOODSIDE, NY 11377-4105
(347) 603-6723
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
738834
NY
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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