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Marlies Bisso

Specialist in Hauppauge, NY. Individual provider (NPI-1).

NPI number1982969630
StatusActive
Last updated in NPPESJul 9, 2012

Details

NPI
1982969630
Entity type
Individual (NPI-1)
Name
Marlies Bisso
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 9, 2012
Last updated
Jul 9, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist1841744NYYes

Practice location

3 Nolan Court
Hauppauge, NY 11788-1644

Phone 631-697-0147

Mailing address

3 Nolan Ct
Hauppauge, NY 11788-1644

Phone 631-697-0147

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