Marlies Bisso

NPI #1982969630 in Hauppauge, New York

Provider Information

NPI Number: 1982969630
Entity Type: Individual
Name: Marlies Bisso
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 9, 2012
Last Updated: Jul 9, 2012

Practice Location

Address: 3 NOLAN COURT
City: Hauppauge
State: New York
ZIP Code: 11788-1644
Phone: (631) 697-0147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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