Individual
MS. MARINA PILIC
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
12 NEIL DR, SMITHTOWN, NY 11787-1511
(631) 265-9877
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301915-1
NY
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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