Jacquelyn Anne Marinelloannem MSED

NPI 1043567118 - Psychologist - 103TS0200X

NPI Details
NPI 1043567118
Gender Female
Enumeration Date 08/08/2012
Last Updated 08/08/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
125 EAST BETHPAGE ROAD
AUITE 5
PLAINVIEW NY, 11803, US
Phone (631) 327-0836
Fax
Business Location
125 EAST BETHPAGE ROAD
AUITE 5
PLAINVIEW NY, 11803, US
Phone (631) 327-0836
Fax
Toxanomy
Taxonomy Code 103TS0200X
License State New York
License Number 434735101
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According to our database, Ms. Jacquelyn Anne Marinelloannem MSED NPI is 1043567118, taxonomy code is 103TS0200X and license number is 434735101, license state is located at New York. Jacquelyn Anne Marinelloannem MSED physically located at 125 East Bethpage Road, Plainview NY, 11803. NPI Number Jacquelyn Anne Marinelloannem MSED has the Individual type.

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1043567118 NPI number is provided on an as is basis without warranty of any kind. 1043567118 is maintained by the National Plan & Provider Enumeration System. The contents of Jacquelyn Anne Marinelloannem MSED are for informational purposes only.