Individual
MARIANNA CORDOVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1090 AMSTERDAM AVE, SUITE 10A, NEW YORK, NY 10025-1737
(212) 523-5222
(212) 523-1761
Mailing address
1090 AMSTERDAM AVE, SUITE 10A, NEW YORK, NY 10025-1737
(212) 523-5222
(212) 523-1761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3667
CT
363AS0400X
Surgical Physician Assistant
Primary
020501-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04602140
—
NY
05
—
1841748456
—
CT
Enumeration date
09/13/2016
Last updated
02/17/2017
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