Individual
PETER MARUSCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
4610 61ST ST APT 14A, WOODSIDE, NY 11377-5731
(347) 207-6654
Mailing address
8146 OLD SUNRIDGE DR, MANLIUS, NY 13104-2204
(347) 207-6654
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431837
NY
Other
Enumeration date
08/31/2020
Last updated
07/03/2025
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