Doctor Name: | MARSHA SATTLER |
NPI Number: | 1255334355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | F032791 |
Business Practice Address: | 410 Lakeville Rd Ste 311 Lake Success, NY - 110421103 |
Business Phone Number: | 5163582400 |
Business Fax Number: | 5163585454 |
Mailing Address: | 410 Lakeville Rd, Ste 311 LAKE SUCCESS |
State: | NY |
Postal Code: | 110421103 |
Phone Number: | 5163582400 |
Fax Number: | 5163585454 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F032791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |