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NPI Code Detail

MEDICARE: MARISSA FRANCES TOMCZAK MS, CCC-SLP

MEDICARE: MARISSA FRANCES TOMCZAK MS, CCC-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 Pathologist027638NY

General Provider Information

NPI Number : 1073042321
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA FRANCES TOMCZAK MS, CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 186
Second Line :
City : ELBA
State : NY
Zip : 14058-0186
Country : US
Telephone Number : 585-356-5476
Fax Number :
Provider Business Practice Location Address
First Line : 2049 GEORGE URBAN BLVD
Second Line :
City : DEPEW
State : NY
Zip : 14043-1823
Country : US
Telephone Number : 716-901-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2017
Last Update Date : 02/26/2026

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Directions to “ MARISSA FRANCES TOMCZAK MS, CCC-SLP” Practice Location

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