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Individual

JEAN-JEFFREY MARCELLUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
265 SUNRISE HWY STE 1-726, ROCKVILLE CENTRE, NY 11570-4912
(516) 728-0672
Mailing address
22 MITCHELL DR, MONROE TOWNSHIP, NJ 08831-7902
(917) 322-1663

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305892
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
404910
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95020542
CA

Other

Enumeration date
07/08/2010
Last updated
02/09/2026
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