Rodriguez, Marissa D
Rodriguez, Marissa D is an individual health care provider with primary practice located at 150 Claremont Ave Apt 1F , New York NY 10027-4673. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Rodriguez, Marissa D can be contacted via phone (559) 903-1953.Contact Information
Primary practice address
150 Claremont Ave Apt 1F
New York NY 10027-4673
Phone: (559) 903-1953
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 716767053 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | F5340450 | California |
Profile Details
| NPI number | 1902489040 |
|---|---|
| LBN Legal business name | Rodriguez, Marissa D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2021 |
| Last updated | May 5th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902489040 | NPPES |
| New York | MEDICAID | WS72598A |
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