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NPI Code Detail

MEDICARE: MRS. ELIZABETH MARZANO RN

MEDICARE: MRS. ELIZABETH MARZANO RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse355442NY

General Provider Information

NPI Number : 1538410642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH MARZANO RN
Provider Business Mailing Address
First Line : 7 CANYON CROSSING RD
Second Line :
City : GREENFIELD CENTER
State : NY
Zip : 12833-1606
Country : US
Telephone Number : 518-893-0397
Fax Number :
Provider Business Practice Location Address
First Line : 70 MALTA AVE
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1529
Country : US
Telephone Number : 518-893-0397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2012
Last Update Date : 09/28/2012

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