Individual provider · Type 1 NPI

Nicole Marchisella

Student in an Organized Health Care Education/Training Program · Coram, NY

NPI number 1487565461 Active

Practice location

3600 Route 112
Coram, NY 11727-4116

Call (631) 920-9520 Map

Fax (631) 920-8501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487565461

Nicole Marchisella's National Provider Identifier is 1487565461, issued on Sep 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Coram, NY. The record was last updated on Sep 16, 2026.