MARYANNE RUSSO-MENONI

STATEN ISLAND, NY
NPI1437518289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  339097)
Enumeration Date2016-02-22
Last Update Date2016-02-22
Business Address
-- MARYANNE RUSSO-MENONI
165 CLINTON B FISKE AVE
STATEN ISLAND, NY 10314-2216
Phone number: 347-693-6408
Mailing Address
-- MARYANNE RUSSO-MENONI
165 CLINTON B FISKE AVE
STATEN ISLAND, NY 10314-2216
Phone number: 347-693-6408
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