Individual
DR. DEBRA MARCELONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8515 MAIN ST, BRIARWOOD, NY 11435-1849
(718) 523-7186
Mailing address
8515 MAIN ST, BRIARWOOD, NY 11435-1849
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P56501
NEW YORK MEDICARE PART B
NY
Enumeration date
08/03/2006
Last updated
03/13/2008
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