Marissa A Marucci, BA, MD
Specialist in Staten Island, New York
1548942360- Practice location
- 2707 Hylan Blvd, Staten Island, NY 10306-4657
- Phone
- 718-851-3300
- Fax
- —
- Last updated
- August 28, 2023
Marissa Ann Marucci is a Specialist based in Staten Island, NY. Marissa Ann Marucci practices in Staten Island, NY and has the professional credentials of BA, MD. The NPI Number for Marissa Ann Marucci is 1548942360 and holds a License No. 1123751 (NY). The current practice location address for Marissa Ann Marucci is 2707 Hylan Blvd, Staten Island, NY 10306-4657 and can be reached out via phone at 718-851-3300.
Provider Profile Details
- NPI Number
- 1548942360
- Provider Name
- Marissa Ann Marucci
- Credential
- BA, MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2707 Hylan Blvd, Staten Island, NY 10306-4657
- Phone Number
- 718-851-3300
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 1, 2023
- Last Update Date
- August 28, 2023
- Certification Date
- August 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2707 Hylan Blvd
Staten Island, NY 10306-4657 - City
- Staten Island
- State
- New York
- Zip
- 10306-4657
- Phone Number
- 718-851-3300
Provider Business Mailing Address Details
- Address
- 168 Yetman Ave
Staten Island, NY 10307-1233 - City
- Staten Island
- State
- NY
- Zip
- 10307-1233
- Phone Number
- 347-672-7893
License Information
- License Number
- 1123751
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Marissa A Marucci, BA, MD?
The NPI number of Marissa A Marucci, BA, MD is 1548942360. It was assigned on August 1, 2023 and is currently active in the NPPES registry.
What is the specialty of Marissa A Marucci, BA, MD?
Marissa A Marucci, BA, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 1123751.
Where does Marissa A Marucci, BA, MD practice?
The practice location is 2707 Hylan Blvd, Staten Island, NY 10306-4657. The office can be reached at 718-851-3300 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548942360 directly on the NPPES registry website.