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General NPI Number Information
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NPI Number | 1972922441
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Entity Type | Individual
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Provider Name | MARISSA MCCAY M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1111 WESTCHESTER AVE
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City | WEST HARRISON
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State | NY
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Zip | 10604-3525
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Country | US
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Telephone | 212-305-9137
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Fax | 212-304-7050
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Provider Business Mailing Address
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Address Line | 622 W 168TH ST PH 111130
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-9137
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Fax | 212-304-7050
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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 | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | 325177
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License Number State | NY
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