Individual
MARIE JACQUELINE MASELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 667-2855
(718) 667-2857
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 667-2855
(718) 667-2857
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
3657421
NY
Other
Enumeration date
09/24/2010
Last updated
04/24/2012
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