Marie Venturini

Individual provider Active NPI Specialist · Palisades, NY

NPI 1790190684 · NPPES record last updated Jul 11, 2017

Key facts

NPI
1790190684
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
056728-1 (NY)
Practice address
716 680 Oak Tree Road
Palisades, NY 10964-0716
Phone
(845) 359-8846
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
056728-1NYMDSpecialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 056728-1 NY Yes

Addresses

Primary practice location

716 680 Oak Tree Road
Palisades, NY 10964-0716

Mailing address

PO Box 716
680 Oak Tree Road
Palisades, NY 10964-0716
Phone (845) 359-8846

Other names

  • Marie Venturini Professional name

Other providers in Palisades, NY

All providers in Palisades, NY · Specialist in New York

Sources for this page

Verify at the official NPI Registry.