Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 350151-1 | NY |
NPI | 1346494432 |
---|---|
Provider Name | Mrs. Joanne Seidel Maresca |
First Address | Franklin Square, NY 11010-3245 |
Second Address | Bronxville, NY 10708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2008 |
Last Update Date | 10/02/2011 |