Individual provider · Type 1 NPI

Peter Marusca, AGACNP-BC

Acute Care Nurse Practitioner · Woodside, NY

NPI number 1891308615 Active

Practice location

4610 61st St Apt 14A
Woodside, NY 11377-5731

Mailing address

8146 Old Sunridge Dr
Manlius, NY 13104-2204

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X431837 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1891308615

Peter Marusca, AGACNP-BC's National Provider Identifier is 1891308615, issued on Aug 31, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Woodside, NY. The record was last updated on Jul 3, 2025.