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NPI Code Detail

MEDICARE: DR. MARISA ORGERA MD

MEDICARE:  DR. MARISA  ORGERA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist203345NY

General Provider Information

NPI Number : 1427051358
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARISA ORGERA MD
Provider Business Mailing Address
First Line : 19 BRADHURST AVE
Second Line : STE 700
City : HAWTHORNE
State : NY
Zip : 10532-2140
Country : US
Telephone Number : 914-593-7800
Fax Number : 914-593-7881
Provider Business Practice Location Address
First Line : 55 GRAND ST
Second Line : STE 106
City : KINGSTON
State : NY
Zip : 12401-3933
Country : US
Telephone Number : 845-339-8700
Fax Number : 914-593-7881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/07/2023

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Directions to “ DR. MARISA ORGERA MD” Practice Location

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