Basedow, Marissa

Basedow, Marissa is an sole proprietor health care provider with primary practice located at 151 Burrs Lane , Dix Hills NY 11746. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Basedow, Marissa can be contacted via phone (631) 643-8800.

Contact Information

Primary practice address
151 Burrs Lane Dix Hills NY 11746
Phone: (631) 643-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 101965 New York

Profile Details

NPI number 1215407895
LBN Legal business name Basedow, Marissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2018
Last updated Nov 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers