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Mrs. Joanne Amalia Marzullo-manez, MS
Mental Health Counselor in Port Jefferson Station, New York
NPI 1720311061

Joanne Amalia Marzullo-manez is a Mental Health Counselor based in Selden, NY and is specialized in Mental Health. Joanne Amalia Marzullo-manez practices in Port Jefferson Station, NY and has the professional credentials of MS. The NPI Number for Joanne Amalia Marzullo-manez is 1720311061 and holds a License No. 004260 (New York).

The current practice location address for Joanne Amalia Marzullo-manez is 5225-46 Route 347, Port Jefferson Station, NY and can be reached out via phone at 631-928-4635.

Location: 5225-46 Route 347, Port Jefferson Station, NY, 11784-1509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720311061
Provider Name
Joanne Amalia Marzullo-manez
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
5225-46 Route 347, Port Jefferson Station, NY, 11784-1509
Phone Number
631-928-4635
Fax Number
Provider Enumeration Date
09/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5225-46 Route 347
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-928-4635
Fax Number
person
Provider Business Mailing Address Details
Address
5225-46 Route 347
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-928-4635
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
004260 (New York)
Definition
Definition to come...
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