Marvin Louie Custodio Enerio is a psychiatric/mental health nurse practitioner in New York, NY with 3 years of experience. Marvin Louie Custodio Enerio NPI is 1952065260. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1468 MADISON AVE
NEW YORK, NY
ZIP 10029-508
Phone: (347) 862-8973
The NPI 1952065260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/25/2021 and was last updated on 2/1/2022.