Individual
DR. MICHAEL MARSILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1104 77TH ST, BROOKLYN, NY 11228-2336
(718) 833-4822
Mailing address
1104 77TH ST, BROOKLYN, NY 11228-2336
(718) 833-4822
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005287
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01693769
—
NY
Enumeration date
10/16/2006
Last updated
06/21/2011
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