Individual provider · Type 1 NPI
Marissa Krystal Senise
Adult Health Nurse Practitioner · New York, NY
NPI number
1124508874
Active
Practice location
1 Gustave L Levy Pl
New York, NY 10029-6504
Mailing address
61 Closter Rd
Palisades, NY 10964-1528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308901 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124508874
Marissa Krystal Senise's National Provider Identifier is 1124508874, issued on Aug 21, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Aug 21, 2018.