Individual
DONNA MARIE MARCELLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN;SC
Contact information
Practice address
7 NEWINGTON AVE, GANSEVOORT, NY 12831-1842
(518) 584-1001
Mailing address
7 NEWINGTON AVE, GANSEVOORT, NY 12831-1842
(518) 584-1001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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