Individual
DEBRA R MARSALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
160 STONE ST, WATERTOWN, NY 13601-3250
(315) 788-8065
(315) 788-7062
Mailing address
160 STONE ST, WATERTOWN, NY 13601-3250
(315) 788-8065
(315) 788-7062
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301144-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00583697
—
NY
Enumeration date
10/03/2008
Last updated
10/03/2008
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