MEDICARE: MARIBEL MARMOL

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	104100000X	Social Worker	130564	NY

General Provider Information

NPI Number	:	1730024977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIBEL MARMOL

Provider Business Mailing Address
First Line	:	10640 80TH ST
Second Line	:
City	:	OZONE PARK
State	:	NY
Zip	:	11417-1024
Country	:	US
Telephone Number	:	646-373-2811
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 W 60TH ST FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-7905
Country	:	US
Telephone Number	:	212-227-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “ MARIBEL MARMOL ” Practice Location

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