Individual
MARIEL ELIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 S OYSTER BAY RD STE 100, HICKSVILLE, NY 11801-3500
(516) 234-0073
Mailing address
PO BOX 404, WOODBURY, NY 11797-0404
(516) 234-0073
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
241647
NY
Other
Enumeration date
09/21/2006
Last updated
06/28/2019
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