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General NPI Number Information
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NPI Number | 1316326432
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Entity Type | Individual
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Provider Name | MARISSA PURCELLI LAFER M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 950 PARK AVENUE
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City | NEW YORK
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State | NY
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Zip | 10028
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Country | US
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Telephone | 212-486-1010
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Fax | 646-968-0649
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Provider Business Mailing Address
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Address Line | 950 PARK AVENUE
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City | NEW YORK
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State | NY
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Zip | 10028
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Country | US
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Telephone | 212-486-1010
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Fax | 646-968-0649
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | S4651
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 309359
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License Number State | NY
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