Individual
MS. MARLENE AGNES FUSSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
79-01 BROADWAY, MANAGED CARE, D1-01, ELMHURST, NY 11373-1329
(718) 334-2508
(718) 334-5990
Mailing address
79-01 BROADWAY, MANAGED CARE, D1-01, ELMHURST, NY 11373-1329
(718) 334-2508
(718) 334-5990
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301987
NY
Other
Enumeration date
10/31/2006
Last updated
04/24/2015
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