Organization
MARCELLUS REGISITERED PROF NURSE AND NURSE PRACTITIONER IN ADULT HEALT
Active
Other names
Marcellus Wellness and Addiction Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA MACKENZIE LPN (OFFICE MANAGER)
(917) 916-7871
Entity
Organization
Contact information
Practice address
22 MITCHELL DR, MONROE TOWNSHIP, NJ 08831-7902
(516) 728-0672
Mailing address
265 SUNRISE HWY STE 1-726, ROCKVILLE CENTRE, NY 11570-4912
(516) 728-0672
(929) 810-3323
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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