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Marissa Nicole Cannata, FNP
Family Nurse Practitioner in New Hyde Park, New York
NPI 1134895089

Marissa Nicole Cannata is a Family Nurse Practitioner based in Kings Park, NY and is specialized in Family. Marissa Nicole Cannata practices in New Hyde Park, NY and has the professional credentials of FNP. The NPI Number for Marissa Nicole Cannata is 1134895089 and holds a License No. 348212 (New York).

The current practice location address for Marissa Nicole Cannata is 450 Lakeville Rd, New Hyde Park, NY and can be reached out via phone at 516-734-8900.

Location: 450 Lakeville Rd, New Hyde Park, NY, 11754-5025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134895089
Provider Name
Marissa Nicole Cannata
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
450 Lakeville Rd, New Hyde Park, NY, 11754-5025
Phone Number
516-734-8900
Fax Number
Provider Enumeration Date
08/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
450 Lakeville Rd
City
New Hyde Park
State
New York
Zip
11042-1118
Phone Number
516-734-8900
Fax Number
person
Provider Business Mailing Address Details
Address
450 Lakeville Rd
City
New Hyde Park
State
New York
Zip
11042-1118
Phone Number
516-734-8900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
348212 (New York)
Definition
Definition to come...
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