Individual
MRS. ELIZABETH MARY MARINELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
15 LINDSAY DR, MORGANVILLE, NJ 07751-1553
(917) 922-5774
Mailing address
15 LINDSAY DR, MORGANVILLE, NJ 07751-1553
(917) 922-5774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
052112012
NY
174400000X
Specialist
052113012
NY
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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