Marsala, Debra R

Marsala, Debra R is an individual health care provider with primary practice located at 160 Stone St , Watertown NY 13601-3250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Marsala, Debra R can be contacted via phone (315) 788-8065.

Contact Information

Primary practice address
160 Stone St Watertown NY 13601-3250
Phone: (315) 788-8065
Fax: (315) 788-7062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F301144-1 New York

Profile Details

NPI number 1922259373
LBN Legal business name Marsala, Debra R
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2008
Last updated Oct 3rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922259373 NPPES
New York MEDICAID 00583697

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