Marollo, Kathleen A
Marollo, Kathleen A is an individual health care provider with primary practice located at 2211 Genesee St Suite 200, Utica NY 13501-5930. 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. Marollo, Kathleen A can be contacted via phone (315) 733-7598.Contact Information
Primary practice address
2211 Genesee St Suite 200
Utica NY 13501-5930
Phone: (315) 733-7598
Fax: (315) 733-7694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F303266-1 | New York |
Profile Details
| NPI number | 1104824192 |
|---|---|
| LBN Legal business name | Marollo, Kathleen A |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Nov 4th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104824192 | NPPES |
| New York | MEDICAID | 02179220 |
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