MARVIN LOUIE CUSTODIO ENERIO

NEW YORK, NY
NPI1952065260
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  403815)
Enumeration Date2021-10-25
Last Update Date2022-02-01
Business Address
MARVIN LOUIE CUSTODIO ENERIO
1468 MADISON AVE
NEW YORK, NY 10029-6508
Phone number: 347-862-8973
Mailing Address
MARVIN LOUIE CUSTODIO ENERIO
362 W 116TH ST APT 2B
NEW YORK, NY 10026-2068
Phone number: 347-862-8973
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