Individual
J MARRACCINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 GUYON AVE, STATEN ISLAND, NY 10306-4134
(718) 667-3627
(718) 966-1594
Mailing address
299 GUYON AVE, STATEN ISLAND, NY 10306-4134
(718) 667-3627
(718) 966-1594
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003478
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018005
GHI
NY
01
—
480033373
RAILROAD MEDICARE
NY
Enumeration date
12/09/2005
Last updated
01/08/2020
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