SearchNew York164W00000X

Nicole Marengo

NPI 1699171629 · on the registry since 2014 · sole proprietor

Practice

Address
28 Michele Ln
Yaphank, NY 11980
Phone
(631) 599-3404
Clinicians at this address
2

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York