Individual
MARIANO SIRAGUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 SOUTH AVE STE 301, STATEN ISLAND, NY 10314-3420
(718) 370-1400
Mailing address
1200 SOUTH AVE, STATEN ISLAND, NY 10314-3413
(718) 370-1400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310168
NY
Other
Enumeration date
04/15/2021
Last updated
06/16/2022
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