Most Relevant Information
Provider Data
| NPI Number: | 1003286147 |
| Provider Name: | MARISA GARGIULO CIAMPI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 831179373 |
Most Important Dates
| Enumeration Date: | 10/01/2015 |
| Last Updated: | 10/01/2015 |
Provider Practice Location
1632 VICTORY BLVD
STATEN ISLAND
NY
103143504
Practice Location Phone/Fax
| Phone: | 7184489650 |
| Fax: |
Provider Mailing Location
370 LITTLE CLOVE RD
STATEN ISLAND
NY
103014138
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |