MEDICARE: MARA HEALTH SOLUTIONS LLC

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
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1629693437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARA HEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	323 WINTHROP ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	323 WINTHROP ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3813
Country	:	US
Telephone Number	:	917-767-0309
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	SHAMARA ALTERNO
Credential	:	NP
Telephone Number	:	917-767-0309

Provider Enumeration Date	:	06/08/2020
Last Update Date	:	06/08/2020

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Directions to “MARA HEALTH SOLUTIONS LLC ” Practice Location

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