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Marisa Gargiulo Ciampi

Student in an Organized Health Care Education/Training Program in Staten Island, NY. Individual provider (NPI-1).

NPI number1003286147
StatusActive
Last updated in NPPESOct 1, 2015

Details

NPI
1003286147
Entity type
Individual (NPI-1)
Name
Marisa Gargiulo Ciampi
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 1, 2015
Last updated
Oct 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program831179373NYYes

Practice location

1632 Victory Blvd
Staten Island, NY 10314-3504

Phone 718-448-9650

Mailing address

370 Little Clove Rd
Staten Island, NY 10301-4138

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