Provider Demographics
NPI:1467537761
Name:COBELLI, MARCIE B (RNP)
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:B
Last Name:COBELLI
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 CARTHAGE RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7201
Mailing Address - Country:US
Mailing Address - Phone:718-405-8131
Mailing Address - Fax:718-405-8133
Practice Address - Street 1:MMC - DEPT. OF ORTHOPEDIC SURG
Practice Address - Street 2:1695 EASTCHESTER ROAD, 2ND FL.
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331878363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner