Individual provider · Type 1 NPI

Marilyn Rose Gonnella, MA

Specialist · East Syracuse, NY

NPI number 1104283647 Active

Practice location

5820 Heritage Landing Dr
East Syracuse, NY 13057-9378

Mailing address

4047 S Street Rd
Marcellus, NY 13108-9616

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X738918131

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104283647

Marilyn Rose Gonnella, MA's National Provider Identifier is 1104283647, issued on Jan 27, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Syracuse, NY. The record was last updated on Jan 27, 2016.