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NPI Code Detail

MEDICARE: MRS. MARISA MARRONE SLP

MEDICARE: MRS. MARISA MARRONE SLP
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
1235Z00000XSpeech-Language Pathologist015505-1NY

General Provider Information

NPI Number : 1518106244
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARISA MARRONE SLP
Provider Business Mailing Address
First Line : 36 UNIVERSITY PL
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-3423
Country : US
Telephone Number : 718-720-4654
Fax Number : 718-720-4654
Provider Business Practice Location Address
First Line : 649 39TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-3101
Country : US
Telephone Number : 718-972-0880
Fax Number : 718-972-0696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2009
Last Update Date : 02/19/2009

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Directions to “ MRS. MARISA MARRONE SLP” Practice Location

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