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Marissa Gonzalez
Family Nurse Practitioner in Lido Beach, New York
NPI 1780461285

Marissa Gonzalez is a Family Nurse Practitioner based in Lido Beach, NY and is specialized in Family. Marissa Gonzalez practices in Lido Beach, NY. The NPI Number for Marissa Gonzalez is 1780461285 and holds a License No. 351300 (New York).

The current practice location address for Marissa Gonzalez is 253 Fairway Rd, Lido Beach, NY and can be reached out via phone at 516-384-5149.

Location: 253 Fairway Rd, Lido Beach, NY, 11561-4802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780461285
Provider Name
Marissa Gonzalez
Credential
Provider Entity Type
Individual
Gender
Female
Address
253 Fairway Rd, Lido Beach, NY, 11561-4802
Phone Number
516-384-5149
Fax Number
Provider Enumeration Date
09/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
253 Fairway Rd
City
Lido Beach
State
New York
Zip
11561-4802
Phone Number
516-384-5149
Fax Number
person
Provider Business Mailing Address Details
Address
253 Fairway Rd
City
Lido Beach
State
New York
Zip
11561-4802
Phone Number
516-384-5149
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
351300 (New York)
Definition
Definition to come...
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