Individual provider · Type 1 NPI

Fannie Maryles

Specialist · Staten Island, NY

NPI number 1134473945 Active

Practice location

533 Harold St
Staten Island, NY 10314-5017

Call (718) 370-8408 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2307473 (NY)

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 1134473945

Fannie Maryles's National Provider Identifier is 1134473945, issued on Oct 31, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 31, 2012.