Charon, Marisa Rose

Charon, Marisa Rose is an individual health care provider with primary practice located at 66 Lindbergh St , Locust Valley NY 11560. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Charon, Marisa Rose can be contacted via phone (516) 497-7600.

Contact Information

Primary practice address
66 Lindbergh St Locust Valley NY 11560
Phone: (516) 497-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 021384 New York

Profile Details

NPI number 1467980193
LBN Legal business name Charon, Marisa Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2017
Last updated Oct 16th, 2025 - about last year

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.

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