Active NPI
Bryanne Marriello
- Specialist
- Coeymans, NY
National Provider Identifier
1609438068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 24 Church St
Coeymans, NY 12045-7711 - Phone
- (518) 867-3061
- NPI assigned
- Jul 5, 2019
- Last updated
- Jul 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
24 Church St
Coeymans, NY 12045-7711
Mailing address
501 Killkenny CT
Malta, NY 12020-3340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1609438068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 KILLKENNY CT",
"city": "MALTA",
"state": "NY",
"postal_code": "120203340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 CHURCH ST",
"city": "COEYMANS",
"state": "NY",
"postal_code": "120457711",
"telephone_number": "518-867-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRIELLO",
"first_name": "BRYANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeymans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.