Individual
MISS MARISA LOSAVIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0595
Mailing address
24 APPLE TREE RD, FLEMINGTON, NJ 08822-7169
(908) 752-5462
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431182-1
NY
Other
Enumeration date
09/16/2017
Last updated
09/16/2017
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