Individual
MISS MARIETTA G DE PERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GUSTAVE LEVY PLACE, NEW YORK, NY 10029-6574
(212) 241-6463
(212) 241-7998
Mailing address
1 GUSTAVE LEVY PLACE, BOX 1458, NEW YORK, NY 10029-6574
(212) 241-6463
(212) 241-7998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
302257
NY
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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